TW201346824A - Systems and methods for generating, managing, and sharing digital scripts - Google Patents

Systems and methods for generating, managing, and sharing digital scripts Download PDF

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TW201346824A
TW201346824A TW102107338A TW102107338A TW201346824A TW 201346824 A TW201346824 A TW 201346824A TW 102107338 A TW102107338 A TW 102107338A TW 102107338 A TW102107338 A TW 102107338A TW 201346824 A TW201346824 A TW 201346824A
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卓 貝利
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米娜娃Ip控股有限責任公司
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    • G16H40/67ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation

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Abstract

The present disclosure generally relates to improved systems and methods for generating, managing, and sharing digital scripts which are accessible to patients and/or health care providers and may be accepted by any appropriate prescription dispensary as well as a comprehensive, real-time source of patient prescription history in compliance with and furtherance of the Meaningful Use regulations. The systems and methods may support the multi-directional flow of script information to improve disease monitoring and treatment, to mitigate patient health risks like undesirable drug interactions, to identify social factors like patient ability to afford prescriptions, and to prevent prescription fraud like forged refills.

Description

產生、管理與分享數位劇本的系統與方法 System and method for generating, managing and sharing digital scripts 【相關申請案的交互參照】[Reciprocal Reference of Related Applications]

本案主張2012年3月1號提申的美國暫時申請案第61/605,500號以及2012年8月24提申的美國暫時申請案第61/693,072號之優先權。 The present application claims priority to U.S. Provisional Application No. 61/605,500, filed March 1, 2012, and U.S. Provisional Application No. 61/693,072, filed on August 24, 2012.

本揭露是有關於一種用於執行及記錄醫務指示與相關處置的系統與方法。更具體而言,本揭露是關於一種產生、管理與分享數位處方箋(digital script)及/或患者處方史中詳盡與即時資源的系統與方法。 The present disclosure is directed to a system and method for performing and recording medical instructions and related treatments. More specifically, the present disclosure relates to a system and method for generating, managing, and sharing detailed and immediate resources in a digital script and/or patient prescription history.

統稱「有意義應用」(Meaningful Use)的美國經濟與臨床健康資訊科技(Health Information Technology for Economic and Clinical Health,HITECH)法,旨在激勵醫務提供者(「提供者」)將患者病歷從紙本格式轉變成電子格式。此種可儲存與輸入電子化患者病歷的方法與系統已受業界所研討並應用。此外,電子健 康記錄(Electronic Health Record,EHR)及電子病歷(Electronic Medical Record,EMR)公司亦為提供者設計了服務,可使處方經由電腦化醫囑登錄(Computerized Physician Order Entry,CPOE)軟體程式來開立。醫務提供者應用上述服務,輸入必要資訊到CPOE軟體程式的介面,以建立CPOE處方箋。CPOE處方箋與傳統紙本處方箋不同處在CPOE處方箋未曾提供予患者,反倒是傳輸到指定藥房。患者則必須到該指定藥房方可取得他/她的處方。而且,CPOE處方箋是經由傳真而遞送到所述藥房而非一直維持於電子格式,也就是說,CPOE處方箋僅為紙本處方箋的另一版本。 The Health Information Technology for Economic and Clinical Health (HITECH) Act, collectively referred to as "Meaningful Use", is designed to motivate medical providers ("providers") to take patient records from paper format. Turned into an electronic format. Such methods and systems for storing and inputting electronic patient records have been studied and applied by the industry. In addition, electronic health The Electronic Health Record (EHR) and Electronic Medical Record (EMR) companies have also designed services for providers to open prescriptions via the Computerized Physician Order Entry (CPOE) software program. The medical provider applies the above services and enters the necessary information into the interface of the CPOE software program to establish a CPOE prescription. The CPOE prescription differs from the traditional paper prescription in that the CPOE prescription has not been provided to the patient, but instead is transmitted to the designated pharmacy. The patient must go to the designated pharmacy to get his/her prescription. Moreover, the CPOE prescription is delivered to the pharmacy via fax rather than being maintained in electronic format, that is, the CPOE prescription is only another version of the paper prescription.

儘管採用CPOE的電子傳遞系統已減輕了可能因提供者與患者間傳遞紙本處方箋(例如字跡潦草、不完整或錯置的紙本處方箋)而造成的相關人為疏失,但仍有存在著多項缺點,其可歸咎於,例如因不同提供者使用不同的EHR與EMR系統,以及因處方資訊往藥房的流程僅為單向等。就以CPOE處方箋經傳真轉回紙本格式而言,一些諸如影像品質及潛在人為疏失(例如涉及因追蹤處方箋而使資訊輸入藥房專用系統)等問題將會重新浮出檯面。 Although the use of CPOE's electronic delivery system has alleviated the associated human error that may result from the delivery of paper prescriptions between providers and patients (eg, sloppy, incomplete or misplaced paper prescriptions), there are still A number of shortcomings can be attributed to, for example, the use of different EHR and EMR systems by different providers, and the process of going to the pharmacy due to prescription information is only one-way. In the case of CPOE prescriptions, faxed back to the paper format, issues such as image quality and potential human error (such as involving the entry of information into the pharmacy-specific system for tracking prescriptions) will resurface.

由於CPOE處方箋是繞過患者而從提供者直接遞送到藥房,所以在CPOE處方箋是由多個提供者(且分別維護各自的病歷資料)來傳輸的情況,尤其會影響患者在先行檢閱後方於該指定藥房按處方箋配齊,以及彙編完整處方史等方面的權利。此外,縱使另一家藥房相對較為便利(例如當患者於旅行途中),給患者 的藥房選擇仍以所指定的初始藥房而定。因而,該指定藥房「占有」(own)著該CPOE處方箋及任何其相關續配。也就是說,除非該指定藥局轉送處方箋到不同的藥局或者提供者產生了新的處方箋,否則患者只能採用該指定藥局,且續配處方時也得回到該指定藥局。 Since the CPOE prescription is bypassed from the patient and delivered directly from the provider to the pharmacy, the CPOE prescription is transmitted by multiple providers (and maintain their respective medical records), especially affecting the patient's prior review. The prescriptions are stipulated in the designated pharmacy, and the rights to complete the prescription history are compiled. In addition, even if another pharmacy is relatively convenient (for example, when the patient is on the road), give the patient The pharmacy selection is still based on the initial pharmacy specified. Thus, the designated pharmacy "owns" the CPOE prescription and any associated renewals. In other words, unless the designated pharmacy transfers the prescription to a different pharmacy or the provider has a new prescription, the patient can only use the designated pharmacy and return to the designated pharmacy when renewing the prescription. .

這些運用CPOE處方箋的現存傳遞系統,亦使提供者失去提供更有效率及完整照顧的機會。由於CPOE處方箋之流程僅為單方向進行(亦即,往指定藥局處),上述系統無法幫助提供者來為患者彙編完整的處方史。舉例而言,何時配齊、續配或轉送處方箋,提供者皆無從得知。同樣地,除非病患或照護者有告知提供者有關處方箋是來自其他提供者及/或處方箋是先前由其他藥局來配齊,否則提供者無法取得攸關患者健康及療法決策等資訊(例如,關乎潛在不良或危險藥物之交互作用)。 These existing delivery systems using CPOE prescriptions also make providers lose the opportunity to provide more efficient and complete care. Since the CPOE prescription process is only unidirectional (ie, to a designated pharmacy), the above system does not help the provider to compile a complete prescription history for the patient. For example, when the prescription is complete, renewed, or transferred, the provider is not aware of it. Similarly, unless the patient or caregiver informs the provider that the prescription is from another provider and/or the prescription was previously provided by another pharmacy, the provider is unable to obtain information about the patient's health and treatment decisions. (for example, about the interaction of potentially bad or dangerous drugs).

在符合及促進「有意義應用」規則下,本發明實施例是關於改良之系統與方法,用於產生、更新與分享數位處方箋一其可供患者及/或醫務提供者來存取,並可為任何合適之處方藥房所接受一亦可作為患者處方史之詳盡與即時資源。本發明一些特定實施例中,所述系統可支援處方箋資料的多向流程,用於改善對疾病的監控與治療、減輕如不良的藥物交互作用對患者所造成的健康風險、辨認如病患對處方的負擔能力等社會因素以及防止偽 造續配等處方舞弊情事。下至個別患者上至患者族群皆可從中獲得前述益處。本發明實施例亦可提供患者處方史,使之分享於涉及患者照護的利害關係者(例如,其他提供者及照護者)之間。 In accordance with and promote the "meaningful application" rules, embodiments of the present invention are directed to improved systems and methods for generating, updating, and sharing digital prescriptions that are accessible to patients and/or medical providers, and Accepted for any suitable prescription pharmacy can also be used as a detailed and immediate resource for the patient's prescription history. In some particular embodiments of the invention, the system can support a multi-directional flow of prescription data for improving disease monitoring and treatment, mitigating health risks to patients such as adverse drug interactions, and identifying patients such as patients Social factors such as the affordability of prescriptions and prevention of falsehood Make prescriptions and other prescription frauds. The aforementioned benefits can be obtained from the individual patient up to the patient population. Embodiments of the invention may also provide a patient prescription history for sharing between stakeholders (eg, other providers and caregivers) involved in patient care.

本發明所述系統是關於一種用於產生、管理與分享數位處方箋的電子系統。在特定實施例中,所述系統包括:處理器,用於處理有關於數位處方箋的資料,該資料包括動態資料及/或靜態資料;儲存媒介,用於儲存關於該數位處方箋的資訊;以及可由該處理器執行之指令,所述指令執行時會使該處理器合併所述動態資料及/或所述靜態資料之選定部份以建立數位處方箋,以及套用保全程序到該數位處方箋以建立保全數位處方箋。在特定實施例中,該保全程序包括編碼及/或加密該數位處方箋。 The system of the present invention is directed to an electronic system for generating, managing, and sharing digital prescriptions. In a particular embodiment, the system includes a processor for processing data relating to a digital prescription, the data including dynamic data and/or static data, and a storage medium for storing information about the digital prescription; And instructions executable by the processor, the instructions, when executed, cause the processor to merge selected portions of the dynamic data and/or the static data to create a digital prescription, and apply a security procedure to the digital prescription. To establish a preservation digital prescription. In a particular embodiment, the security procedure includes encoding and/or encrypting the digital prescription.

在特定實施例中,所述系統更包括輸出裝置,用以輸出該保全數位處方箋。該保全數位處方箋可被輸出到指定定牌使用者,該指定定牌使用者包括患者、提供者、藥劑師以及照護者其中之一或多個。在其他實施例中,該保全數位處方箋可輸出到儲存裝置。所述系統更可包括可由該處理器執行之指令,所述指令執行時會使該處理器將該保全數位處方箋儲存到該儲存媒介中。 In a particular embodiment, the system further includes an output device for outputting the secured digital prescription. The secured digital prescription can be output to a designated branded user including one or more of a patient, a provider, a pharmacist, and a caregiver. In other embodiments, the secured digital prescription can be output to a storage device. The system can further include instructions executable by the processor that, when executed, cause the processor to store the secured digital prescription in the storage medium.

在特定實施例中,所述系統更可包括:用以與電腦網路中的網路資料庫通信的介面;以及可由該處理器執行之指令,所述指令執行時會使該處理器經由該介面向該網路資料庫請求所述動態資料及/或所述靜態資料。在其他實施例中,所述系統可包括可由該處理器執行之指令,所述指令執行時會使該處理器經由該 介面向該網路資料庫輸出該保全數位處方箋。 In a particular embodiment, the system can further include: an interface to communicate with a network repository in a computer network; and instructions executable by the processor, the instructions being executed to cause the processor to pass The dynamic data and/or the static data is requested for the network database. In other embodiments, the system can include instructions executable by the processor that, when executed, cause the processor to pass the The security digital prescription is output to the network database.

在特定實施例中,靜態資料及/或動態資料可包括下列之一或多個:處方資料、命令集、處方交互作用資料、自訂醫療指示、診斷碼、患者資料、照護者資料、提供者資料、藥劑師資料、配給處資料、提取自現存數位處方箋的資料、保險資料、付款資料、新數位處方箋產生記錄、現存數位處方箋修改、數位處方箋配齊記錄以及剩餘續配數量顯示。 In particular embodiments, the static data and/or dynamic data may include one or more of the following: prescription data, command set, prescription interaction data, customized medical instructions, diagnostic codes, patient data, caregiver data, providers Information, pharmacist data, rations data, data extracted from existing digital prescriptions, insurance data, payment data, new digital prescriptions, production records, existing digital prescriptions, revisions, digital prescriptions, matching records, and remaining renewals .

在特定實施例中,所述系統包括:介面,用以與電腦網路通信;處理器,用於處理關於數位處方箋的資料,該資料包括動態資料及/或靜態資料;儲存媒介,用於儲存關於該數位處方箋的資訊;以及可由該處理器執行之指令。所述指令執行時會使該處理器經由該介面接收保全數位處方箋,以及自該安全數位處方箋提取所述動態資料及/或所述靜態資料之所述選定部份。在特定實施例中,用於提取所述選定部份之所述指令包括用於解碼及/或解密該保全數位處方箋之指令。在特定實施例中,所述選定部分是由指定定牌使用者來選定。在特定實施例中,所述系統更包括可由該處理器執行之指令,所述指令執行時會使該處理器儲存所述被提取資料之所述選定部分。所述選定部分會儲存於該儲存媒介或網路資料庫中。 In a particular embodiment, the system includes an interface for communicating with a computer network, a processor for processing data regarding the digital prescription, the data including dynamic data and/or static data, and a storage medium for Storing information about the digital prescription; and instructions executable by the processor. The execution of the instructions causes the processor to receive a security digital prescription via the interface, and extract the selected portion of the dynamic data and/or the static data from the secure digital prescription. In a particular embodiment, the instructions for extracting the selected portion include instructions for decoding and/or decrypting the secured digital prescription. In a particular embodiment, the selected portion is selected by a designated branding user. In a particular embodiment, the system further includes instructions executable by the processor that, when executed, cause the processor to store the selected portion of the extracted data. The selected portion is stored in the storage medium or network database.

本發明亦是關於一種在電子處方系統中產生、管理與分享數位處方箋的方法。在特定實施例中,所述方法包括以下步驟:選擇關於數位處方箋的資料,所述資料包括動態資料及/或靜態資 料;合併所述動態資料及/或所述靜態資料的選定部分以產生數位處方箋;以及套用保全程序到該數位處方箋以建立保全數位處方箋。該保全程序包括編碼及/或加密該數位處方箋。在特定實施例中,所述方法更包括輸出該保全數位處方箋到指定定牌使用者或儲存裝置。所述方法更包括儲存該保全數位處方箋於該儲存媒介中。 The present invention is also directed to a method of generating, managing, and sharing digital prescriptions in an electronic prescription system. In a particular embodiment, the method includes the steps of selecting data regarding a digital prescription, the data including dynamic data and/or static assets Combining the dynamic data and/or selected portions of the static data to generate a digital prescription; and applying a security procedure to the digital prescription to establish a security digital prescription. The security procedure includes encoding and/or encrypting the digital prescription. In a particular embodiment, the method further includes outputting the secured digital prescription to a designated branded user or storage device. The method further includes storing the secured digital prescription in the storage medium.

在特定實施例中,所述方法可包括經由用以與電腦網路中的網路資料庫通信的介面,向該網路資料庫請求所述動態資料及/或所述靜態資料。所述方法更可包括經由用以與電腦網路中的網路資料庫通信的介面,向該網路資料庫輸出該保全數位處方箋。 In a particular embodiment, the method can include requesting the dynamic data and/or the static data from the network repository via an interface to communicate with a network repository in a computer network. The method can further include outputting the secured digital prescription to the network repository via an interface for communicating with a network repository in the computer network.

在特定實施例中,所述方法包括經由用以與電腦網路通信的介面來接收保全數位處方箋,該保全數位處方箋包括動態資料及/或靜態資料;以及自該數位處方箋提取所述動態資料及/或所述靜態資料之所述選定部份。在特定實施例中,提取所述選定部份之步驟包括用於解碼及/或解密該保全數位處方箋之指令。在特定實施例中,所述選定部分是由指定定牌使用者來選定。在特定實施例中,所述方法包括儲存被提取資料的所述選定部分於該儲存媒介或網路資料庫中。 In a particular embodiment, the method includes receiving a security digital prescription via an interface for communicating with a computer network, the security digital prescription including dynamic data and/or static data; and extracting the digital prescription from the digital prescription The selected portion of the dynamic data and/or the static data. In a particular embodiment, the step of extracting the selected portion includes instructions for decoding and/or decrypting the secured digital prescription. In a particular embodiment, the selected portion is selected by a designated branding user. In a particular embodiment, the method includes storing the selected portion of the extracted material in the storage medium or network repository.

以下將配合圖式參考以詳細描述本發明之一或多個實施例。其他特徵、物件以及優點將見於本發明之描述、圖示及權利請求範圍。 One or more embodiments of the present invention are described in detail below with reference to the drawings. Other features, objects, and advantages will be apparent from the description, drawings and claims of the invention.

100‧‧‧數位資料庫 100‧‧‧Digital Database

101‧‧‧提供者/第一提供者 101‧‧‧Provider/First Provider

102‧‧‧患者 102‧‧‧ patients

103‧‧‧照護者 103‧‧‧ caregivers

104‧‧‧藥劑師 104‧‧ ‧ pharmacist

105‧‧‧配給處 105‧‧‧ Distribution Office

106‧‧‧第二提供者 106‧‧‧second provider

201、900‧‧‧使用者設備 201, 900‧‧‧ User equipment

202‧‧‧中央處理器 202‧‧‧Central processor

203‧‧‧數據機 203‧‧‧Data machine

204‧‧‧網路 204‧‧‧Network

205‧‧‧儲存裝置 205‧‧‧Storage device

206‧‧‧使用者介面 206‧‧‧User interface

207‧‧‧收發器 207‧‧‧ transceiver

208‧‧‧介面 208‧‧‧ interface

301、304-309‧‧‧步驟 301, 304-309‧‧‧ steps

302、401、504‧‧‧靜態資料 302, 401, 504‧‧‧ Static data

303、403、505‧‧‧動態資料 303, 403, 505‧‧‧ Dynamic information

402、404-408‧‧‧步驟 402, 404-408‧‧‧ steps

501-503、506-511‧‧‧步驟 501-503, 506-511‧‧‧ steps

601-604‧‧‧步驟 601-604‧‧ steps

801‧‧‧新的數位處方箋 801‧‧‧New digital prescription笺

802-803‧‧‧步驟 802-803‧‧‧Steps

804‧‧‧修改或終止的數位處方箋 804‧‧‧Modified or terminated digital prescription笺

901、902‧‧‧數位處方箋 901, 902‧‧‧Digital prescription笺

1000‧‧‧截圖 1000‧‧‧ screenshot

圖1是根據本發明實施例繪示的一種用於產生、管理與分享數位處方箋的方法之網路圖。 1 is a network diagram of a method for generating, managing, and sharing digital prescriptions, in accordance with an embodiment of the present invention.

圖2是根據本發明實施例繪示的一種用於產生、管理與分享數位處方箋的系統之示意圖。 2 is a schematic diagram of a system for generating, managing, and sharing digital prescriptions, in accordance with an embodiment of the present invention.

圖3是以定牌提供者的觀點而根據本發明實施例繪示的一種用於產生、管理與分享數位處方箋的系統之流程圖。 3 is a flow diagram of a system for generating, managing, and sharing digital prescriptions, in accordance with an embodiment of the present invention, from the perspective of a card provider.

圖4是以定牌患者的觀點而根據本發明實施例繪示的一種用於產生、管理與分享數位處方箋的系統之流程圖。 4 is a flow diagram of a system for generating, managing, and sharing digital prescriptions, in accordance with an embodiment of the present invention, from the perspective of a licensed patient.

圖5是以定牌藥劑師的觀點而根據本發明實施例繪示的一種用於產生、管理與分享數位處方箋的系統之流程圖。 5 is a flow diagram of a system for generating, managing, and sharing digital prescriptions, in accordance with an embodiment of the present invention, from the perspective of a licensed pharmacist.

圖6是根據本發明實施例繪示的一種使用者初始化及定牌化之流程圖。 FIG. 6 is a flow chart of user initialization and carding according to an embodiment of the invention.

圖7A-圖7C是根據本發明實施例繪示的定牌使用者之間數位處方箋路徑之流程圖。 7A-7C are flow diagrams showing a digital prescription path between card users according to an embodiment of the invention.

圖8是根據本發明實施例繪示的一種修改及/或終止數位處方箋之流程圖。 FIG. 8 is a flow chart of modifying and/or terminating a digital prescription according to an embodiment of the invention.

圖9A、圖9B是根據本發明實施例繪示的數位處方箋之使用者設備截圖。 9A and 9B are screenshots of a user device of a digital prescription device according to an embodiment of the invention.

圖10是根據本發明實施例繪示的數位處方箋之網頁介面截圖。 FIG. 10 is a screenshot of a web interface of a digital prescription according to an embodiment of the invention.

概述Overview

本發明實施例包括用於產生、管理與釋出數位處方箋的新系統與方法。數位處方箋是一種數位型態之處方請求,由醫務提供者所提出。數位處方箋在取得處方上,與一般傳統的紙本處方箋或由CPOE產生之傳真相比,具有相同的法律效力。提供者產生數位處方箋的權限可依當地法令及慣例而定,尤其當數位處方箋所請與受管制藥品或裝置有關時。 Embodiments of the present invention include new systems and methods for generating, managing, and releasing digital prescriptions. A digital prescription is a digital form request made by a medical provider. Digital prescriptions have the same legal effect on prescriptions as compared to conventional paper prescriptions or faxes generated by CPOE. The authority to generate a digital prescription for the provider may be subject to local laws and practices, especially when the digital prescription is related to the controlled drug or device.

本發明實施例亦包括用於存取與分享數位處方箋的新系統與新方法。舉例而言,一些實施例中,患者可檢閱數位處方箋、與其它提供者分享處方史及/或取得處方。所述系統僅允許患者存取數位處方箋及與他/她自身健康相關的資訊(亦即,一種至少與該患者相關的「封閉式」(closed)存取系統)。不過,其他使用者(例如提供者或照護者)則可存取給予多個患者的多個數位處方箋,甚至可由多個提供者來提供(亦即,一種「開放式」(open)存取系統)。 Embodiments of the present invention also include new systems and new methods for accessing and sharing digital prescriptions. For example, in some embodiments, a patient may review a digital prescription, share a prescription history with other providers, and/or obtain a prescription. The system only allows the patient to access a digital prescription and information related to his/her own health (i.e., a "closed access system" associated with at least the patient). However, other users (such as providers or caregivers) can access multiple digital prescriptions given to multiple patients, or even multiple providers (ie, an "open" access). system).

處方是一種實際的藥物或療法,各具有多種型態,依照處方箋所請可於合適的藥局取得所述處方。處方可包括給予患者、照護者、藥劑師或其他醫務者(例如行為輔導、物理治療及飲食輔導)來進行的指令。處方亦可包括欲用於內科診斷、外科治療、療法或疾病預防的藥物或裝置,諸如藥物(例如藥丸或藥膏)、耐久性醫療設備(例如拐杖或支架)、植入式醫療設備(例如心律調節器或植入物)、遠端醫療監控裝置(例如無線或有線的 血糖/激素監控器及血壓監控器)以及非處方藥的健康產品(例如維他命及預防藥(prophylactics))。處方藥物,特定來說,可依化學成分、給藥途徑、所針對的生物系統或所預期的治療效果來作分類。處方可更進一步包括與療程或疾病預防相關的臨床評估、實驗室試驗(例如血液檢測及組織分析)以及診斷研究(例如X光及磁共振成像)。 A prescription is an actual drug or therapy, each of which has multiple forms, and the prescription can be obtained at a suitable pharmacy according to the prescription. The prescription may include instructions to be given to the patient, caregiver, pharmacist, or other medical practitioner (eg, behavioral counseling, physical therapy, and dietary counseling). The prescription may also include drugs or devices intended for medical diagnosis, surgical treatment, therapy or disease prevention, such as drugs (such as pills or ointments), durable medical devices (such as crutches or stents), implantable medical devices (such as heart rhythms) Regulator or implant), remote medical monitoring device (eg wireless or wired) Health products such as blood glucose/hormone monitors and blood pressure monitors, as well as over-the-counter drugs (such as vitamins and prophylactics). Prescription drugs, in particular, can be classified by chemical composition, route of administration, biological system being targeted, or desired therapeutic effect. The prescription may further include clinical evaluations related to the course of treatment or disease prevention, laboratory tests (such as blood tests and tissue analysis), and diagnostic studies (such as X-ray and magnetic resonance imaging).

本發明實施例更包括用於使配給處接收、修改與報導數位處方箋的新系統與新方法。配給處(dispensary)是一個體,在處方箋所請為有效且適當的情況下,藉由提供患者處方來「配齊」(fill)數位處方箋。經合格認證的藥房即為配給處的一種,然而配給處並不以所述藥房為限。配給處亦可包括醫務機構、零售商店、網際網路或郵購公司,以及器材租借商。在配給處產生有法律效力之數位處方箋且處方箋所請求有效且適當的情況下,所述配給處所雇用的合格人員(例如經認證的藥劑師)會處理數位處方箋且配齊處方。 Embodiments of the present invention further include new systems and methods for enabling a dispensing office to receive, modify, and report digital prescriptions. The dispensing is a body that "fills" a prescription by providing a prescription for the patient if it is valid and appropriate. A qualified pharmacy is one of the rations, but the ration is not limited to the pharmacy. The rations can also include medical institutions, retail stores, internet or mail order companies, and equipment lenders. Where a legally valid digital prescription is produced at the ration, and the prescription is valid and appropriate, the qualified person employed by the ration (eg, a certified pharmacist) will process the prescription and complete the prescription.

使用者定牌化(User Branding)User Branding

根據本發明實施例,特定使用者依照特定數位處方箋所能採取的行動,乃取決使用者於所述系統中是如何被「定牌」(branded)的。每個定牌使用者會根據事先賦予的稱號(例如定牌提供者、定牌藥劑師、定牌患者及/或定牌照護者)來存取所述系統,並與數位處方箋互動。 In accordance with an embodiment of the invention, the actions that a particular user can take in accordance with a particular digital prescription depend on how the user is "branded" in the system. Each branded user accesses the system based on a pre-assigned title (eg, a card supplier, a licensed pharmacist, a licensed patient, and/or a licensee) and interacts with the digital prescription.

圖1為根據本發明實施例之網路圖。圖1的網路圖包括 有數位資料庫100及四個種類的使用者:定牌提供者101、定牌患者102、定牌照護者103以及定牌藥劑師104。該定牌藥劑師104與配給處105相關聯。每個定牌使用者皆能存取使用者設備(例如行動裝置、平板電腦或電腦),並可透過一或多個通信網路,來與該數位資料庫100及/或另一個定牌使用者進行通信,其相關說明將詳細論述如下。 1 is a network diagram in accordance with an embodiment of the present invention. The network diagram of Figure 1 includes There are a number of databases 100 and four types of users: a card provider 101, a card patient 102, a license plater 103, and a licensed pharmacist 104. The branded pharmacist 104 is associated with the ration 105. Each of the branded users can access the user device (such as a mobile device, tablet or computer) and can use the digital database 100 and/or another card through one or more communication networks. The communication is carried out, and the related description will be discussed in detail below.

根據本發明實施例,定牌提供者是所述系統中指定而替患者代為產生數位處方箋的使用者。產生數位處方箋的權限可依當地法令及慣例而定,尤其在處方箋所請與受管制藥物或裝置有關時。定牌提供者可為醫師、醫師助理、護理人員、近階專科護理人員、牙醫、獸醫、臨床藥劑師、驗光人員、精神病醫師、醫療心理師、手療法醫師等。一些實施例中,數位處方箋標示有該定牌提供者(也就是產生該數位處方箋的使用者)之身份。此標示可以美國醫學會(American Medical Association,AMA)所指派的全國提供者識別(National Provider Identification,NPI)編號,或者是美國緝毒局(U.S.Drug Enforcement Administration,DEA)編號為基礎。在本發明進一步的實施例中,定牌提供者可修改、更新、終止及/或分享系統中的數位處方箋。在本發明特定實施例中,數位處方箋可包括轉診單(referral),藉此定牌提供者可推介患者給另一個被定牌的提供者。 In accordance with an embodiment of the present invention, the card provider is a user designated in the system to generate a digital prescription for the patient. The authority to generate a digital prescription may be determined by local statutes and practices, especially when the prescription is related to a controlled drug or device. The license provider can be a physician, a physician assistant, a nursing staff, a near-term specialist nursing staff, a dentist, a veterinarian, a clinical pharmacist, an optometry staff, a psychiatrist, a medical psychologist, a hand therapy physician, and the like. In some embodiments, the digital prescription identifies the identity of the branding provider (i.e., the user who generated the digital prescription). This label may be based on the National Provider Identification (NPI) number assigned by the American Medical Association (AMA) or the U.S. Drug Enforcement Administration (DEA) number. In a further embodiment of the invention, the card provider may modify, update, terminate and/or share the digital prescriptions in the system. In a particular embodiment of the invention, the digital prescription may include a referral whereby the rating provider may refer the patient to another provider of the brand.

根據本發明實施例,定牌藥劑師是所述系統中指定為依有效數位處方箋所指示而配齊處方(例如藥物、醫療用品、器具 或服務)給患者的使用者。配給處方的權限可依當地法令及慣例而定,尤其在與受管制藥物或裝置有關時。一些實施例中,數位處方箋標示有該定牌藥劑師(也就是配齊該數位處方箋的使用者)之身份。此標示可以藥劑師代表編號(Pharmacist's Representative Number,PRN)及/或是個人配給處位置(Individual Dispensary Location,IDL)編號為基礎。在本發明進一步的實施例中,定牌藥劑師可藉由,例如減少與數位處方箋相關的剩餘續配數量,來修改數位處方箋。在依照當地法令及慣例下,定牌藥劑師可修改數位處方箋對藥廠版(brand version)藥物的請求,而以學名版(generic version)藥物來配給(及/或其反向亦然)。在補充的實施例中,藥劑師可經由相同的系統來接受健保資訊及/或處方的電子付款。 According to an embodiment of the invention, the licensed pharmacist is a prescription specified in the system as indicated by the effective digital prescription (eg, drugs, medical supplies, appliances) Or service) to the user of the patient. The authority to dispense prescriptions may be subject to local laws and practices, especially when related to controlled drugs or devices. In some embodiments, the digital prescription identifies the identity of the branded pharmacist (i.e., the user who is assigned the digital prescription). This indication may be based on the Pharmacist's Representative Number (PRN) and/or the Individual Dispensary Location (IDL) number. In a further embodiment of the invention, the licensed pharmacist can modify the digital prescription by, for example, reducing the number of remaining renewals associated with the digital prescription. In accordance with local statutes and practices, a licensed pharmacist may modify a digital prescription for a drug version of a drug, and a generic version of the drug (and/or vice versa) . In an additional embodiment, the pharmacist can receive electronic payment for health care information and/or prescription via the same system.

根據本發明實施例,定牌患者是所述系統中指定為依有效的數位處方箋所指示而取得處方的使用者。患者所尋求的醫務可包括內科、牙科、外科或其他療程。本發明一些實施例中,代表定牌患者而產生的數位處方箋標示有該定牌患者之身份。前述標示可以社會安全編號(Social Security Number,SSN)及/或是唯一的病歷編號(Medical Record Number,MRN)為基礎。在本發明進一步的實施例中,數位處方箋標示有診斷代碼。診斷代碼可從例如,世界衛生組織的國際疾病統計分類及死因分類標準,特別是ICD-9及ICD-10代碼組處來取得。 In accordance with an embodiment of the invention, the branded patient is a user in the system designated to be prescribed by a valid digital prescription. The medical services sought by the patient may include medical, dental, surgical or other treatments. In some embodiments of the invention, the digital prescription generated on behalf of the branded patient is labeled with the identity of the branded patient. The foregoing indication may be based on a Social Security Number (SSN) and/or a unique Medical Record Number (MRN). In a further embodiment of the invention, the digital prescription is labeled with a diagnostic code. Diagnostic codes can be obtained, for example, from the World Health Organization's International Classification of Disease Statistics and Classification of Deaths, particularly the ICD-9 and ICD-10 code groups.

根據本發明實施例,定牌照護者是所述系統中指定為管理定牌患者之照護的使用者。關於無法自行指定定牌照護者或需 要定牌照護者代其指定的患者,其之非限定例子包括:未成年人、老年人、行動不便者以及動物。管理患者之照護的權限,尤其是獲得及管理受管制藥物或裝置,可依當地法令及慣例而定。舉例而言,當患者被視為無力管理他/她自身之護理時,照護者可由法院來授權。或者,定牌患者可自行指定定牌照護者。一些實施例中,數位處方箋標示有定牌照護者(其可代表患者取得配方)之身份。此標示可以社會安全編號(SSN)或另一種唯一識別碼為基礎。 In accordance with an embodiment of the present invention, a license holder is a user of the system designated to manage the care of a licensed patient. Regarding the inability to appoint a licensee or need Non-limiting examples of patients designated by the licensee on their behalf include: minors, the elderly, people with reduced mobility, and animals. The authority to manage patient care, especially the acquisition and management of controlled drugs or devices, may be subject to local laws and practices. For example, a caregiver may be authorized by a court when the patient is deemed incapable of managing his/her own care. Alternatively, the licensed patient may appoint a license holder. In some embodiments, the digital prescription identifies the identity of a licensed caregiver (which can be used to represent a patient). This indication can be based on a Social Security Number (SSN) or another unique identifier.

數位處方箋的產生與管理Generation and management of digital prescriptions

數位處方箋的實施方法,是以數位型態來表示醫務提供者開立之處方請求。根據本發明實施例,數位處方箋與傳統紙本處方箋或CPOE產生之傳真處方箋相比,具有相同的資訊及效力,差別在數位處方箋經編碼並以電子格式來維護。 The implementation method of the digital prescription is a digital type to indicate the request of the medical provider to open. In accordance with an embodiment of the present invention, a digital prescription has the same information and effectiveness as a conventional paper prescription or a fax prescription produced by CPOE, the difference being encoded in a digital prescription and maintained in an electronic format.

一些實施例中,數位處方箋經編碼以條碼圖像來分享。條碼式系統已然為許多配給處所採用,其中產品經標記具有一維(1-D)條碼或二維(2-D)條碼圖像,有利於存貨追蹤及結帳效率。同樣地,大多數提供者及患者具有具備產生及/或讀取條碼能力的硬體及軟體的存取權。條碼圖像可經由電子視覺顯示器(例如行動裝置螢幕或收銀機螢幕)、列印成紙本(例如透過互動式多媒體機台(kiosk)或透過收銀台收據印表機)來分享,或者透過通信網路(例如網際網路或行動通訊網路(cellular network))來傳輸。條碼圖像可藉由相機或掃瞄器,以及用於分析相機或掃瞄器 所提供之圖像資料的解碼器來讀取。舉例而言,大多數行動裝置皆具有可讀取條碼的相機,尤其是已為手機相機或其他未具備自動對焦功能之相機完成最佳化的二維條碼。 In some embodiments, the digital prescription is encoded and shared as a barcode image. The bar code system has been adopted for many distribution offices, where the product is marked with one-dimensional (1-D) barcode or two-dimensional (2-D) barcode image, which is beneficial for inventory tracking and checkout efficiency. Similarly, most providers and patients have access to hardware and software with the ability to generate and/or read barcodes. Barcode images can be shared via electronic visual displays (such as mobile device screens or cash register screens), printed on paper (for example via an interactive multimedia kiosk or via a cashier receipt printer), or via communication A network (such as the Internet or a cellular network) is transmitted. Barcode images can be used with cameras or scanners, as well as for analyzing cameras or scanners The decoder of the provided image data is read. For example, most mobile devices have cameras that can read bar codes, especially two-dimensional bar codes that have been optimized for cell phone cameras or other cameras that do not have autofocus.

在首選實施例中,數位處方箋是以最佳化之二維條碼來編碼及分享,諸如二維行動條碼(2 D Quick Response(QR)Code)、微行動條碼(micro QR Code)、資料矩陣(Data Matrix)、PDF417條碼或微PDF417條碼。與線型條碼相比,行動條碼具有,例如較大空間的資料容量,且無論是否使用自動對焦相機皆可達到高速與360度的讀取。另外,行動條碼亦提供具基於語言效率的高密度記錄、連結功能(linking functionality)、簡易加密(easy encryption)以及使符號更耐變形、髒污及損壞。有關定義行動條碼需求的國際標準,可參考ISO/IEC18004:2006,其併入此處以作為整體之參考。 In a preferred embodiment, the digital prescription is encoded and shared by an optimized two-dimensional barcode, such as a 2D Quick Response (QR) Code, a micro QR Code, and a data matrix. (Data Matrix), PDF417 barcode or micro PDF417 barcode. Compared to line type barcodes, action bar codes have, for example, a large amount of data capacity, and high speed and 360 degree reading can be achieved regardless of whether or not an auto focus camera is used. In addition, the action bar code provides high-density recording based on language efficiency, linking functionality, easy encryption, and making the symbol more resistant to deformation, dirt and damage. For an international standard for defining the requirements for action bar codes, reference is made to ISO/IEC 18004:2006, which is incorporated herein by reference in its entirety.

一些實施例中,數位處方箋是以任何資料的光學機器可讀取形式來編碼及分享(例如使用光學字元辨識法(optical character recognition)或是光碟或磁帶)。一些實施例中,數位處方箋是使用字元編碼方案(例如ASCII或Unicode)來編碼及分享。在更進一步的實施例中,數位處方箋是以磁性媒體來編碼及分享,例如(磁碟、磁帶、磁墨或磁條)、半導體、浮動閘極晶體(例如快閃記憶體)、無線電傳輸(例如射頻識別(RFID)標籤、近場通信(NFC)標籤或藍牙技術)。 In some embodiments, the digital prescription is encoded and shared in an optical machine readable form of any material (eg, using optical character recognition or a disc or tape). In some embodiments, the digital prescription is encoded and shared using a character encoding scheme (eg, ASCII or Unicode). In still further embodiments, the digital prescription is encoded and shared by magnetic media, such as (disk, tape, magnetic ink or magnetic strip), semiconductor, floating gate crystal (eg, flash memory), radio transmission (eg radio frequency identification (RFID) tags, near field communication (NFC) tags or Bluetooth technology).

藉由經編碼之欄位(例如患者身分及剩餘續配數量)來 產生數位處方箋,定牌提供者可允許定牌患者及/或定牌照護者在有效取得處方的同時,維護數位記錄,以及在可續配時取得載有未配給結餘(unfilled balance)的數位處方箋。一些實施例中,數位處方箋會隨用途而衍變(evolve)。也就是說,所述系統可根據事件來自動更新欄位,或者允許授權之定牌使用者來修改欄位。衍變數位處方箋中可被更新或修改的欄位,是為動態欄位。進一步的實施例中,所述系統可包括動態網路資料庫或在網路中可自動接收及更新與數位處方箋相關資訊的其他資料結構,而且每個數位處方箋編碼時皆包含連至所述資料庫的數位連結(例如全球資源定址器(Uniform Resource Locator,URL))。 By coded fields (such as patient status and remaining renewals) After a digital prescription is generated, the card provider can allow the licensed patient and/or the licensee to maintain a digital record while effectively obtaining a prescription, and to obtain a digital number with an unfilled balance when renewable. Prescription 笺. In some embodiments, the digital prescription will evolve with the use. That is, the system can automatically update the field based on the event, or allow authorized card users to modify the field. The fields that can be updated or modified in the derivative digital prescription are dynamic fields. In a further embodiment, the system may include a dynamic network database or other data structure that automatically receives and updates information related to the digital prescription in the network, and each digital prescription code is included in the code. A digital link to a database (such as a Uniform Resource Locator (URL)).

舉例而言,一些實施例中,當定牌藥劑師配給與數位處方箋相關的處方時,所述系統可自動更新該衍變數位處方箋的動態欄位,以表示該數位處方箋已配齊。另外,當數位處方箋用於續配時,所述系統可在每次續配由患者或照護者取得時,以扣除一的方式來自動更新代表剩餘續配數量的動態欄位。或者,定牌藥劑師可手動修改數位處方箋的動態欄位,藉以表示數位處方箋已配齊、辨別配齊該數位處方箋的該定牌藥劑師及/或扣減剩餘續配數量。同樣地,一些實施例中,定牌提供者可採取自動更新或手動修改數位處方箋,例如增加剩餘續配數量來更新數位處方箋,或取消剩餘續配數量以終止數位處方箋。 For example, in some embodiments, when a licensed pharmacist dispenses a prescription associated with a digital prescription, the system can automatically update the dynamic field of the derived digital prescription to indicate that the digital prescription has been dispensed. Additionally, when the digital prescription is used for renewal, the system can automatically update the dynamic field representing the remaining renewal amount in a deductive manner each time the renewal is obtained by the patient or caregiver. Alternatively, the licensed pharmacist can manually modify the dynamic field of the digital prescription to indicate that the digital prescription has been dispensed, to identify the licensed pharmacist who is fitted with the digital prescription, and/or to deduct the remaining renewal amount. Likewise, in some embodiments, the card provider may take the automatic update or manually modify the digital prescription, such as increasing the number of remaining renewals to update the digital prescription, or canceling the remaining renewal amount to terminate the digital prescription.

根據一些實施例,數位處方箋產生後,所述系統可維護靜態欄位,其無法受任何定牌使用者所修改。舉例而言,數位處 方箋的靜態欄位可包括產生該處方箋的定牌提供者之身份及/或代其產生之數位處方箋的該定牌患者之身份。僅供一種類定牌使用者修改的欄位對該類定牌使用者來說,是為動態欄位,但對所有其他種類的定牌使用者來說,其可為靜態欄位。同樣地,僅供一特定定牌使用者修改的欄位對該特定定牌使用者來說,是為動態欄位,但對所有其他定牌使用者來說,其可為靜態欄位。 According to some embodiments, after the digital prescription is generated, the system can maintain a static field that cannot be modified by any of the branded users. For example, at the digital place The static field of the box may include the identity of the branding provider that generated the prescription and/or the identity of the branded patient on behalf of the digital prescription. A field modified by only one type of branded user is a dynamic field for the type of card user, but it can be a static field for all other types of card users. Similarly, a field that is modified only for a particular branded user is a dynamic field for that particular card user, but can be a static field for all other card users.

一些實施例中,授權之定牌使用者所致之事件或修改,可促使系統將動態欄位改為靜態欄位。舉例而言,根據一些實施例,一旦所述系統更新或修改了數位處方箋的動態欄位來辨別配齊該數位處方箋的定牌藥劑師,該動態欄位可變成靜態欄位以使該定牌藥劑師的身分可以被維護到該衍變數位處方箋的歷史中。 In some embodiments, an event or modification caused by an authorized branded user may cause the system to change the dynamic field to a static field. For example, in accordance with some embodiments, once the system updates or modifies a dynamic field of a digital prescription to identify a licensed pharmacist who is aligning the digital prescription, the dynamic field can become a static field to enable the The identity of the licensed pharmacist can be maintained in the history of the derivative digital prescription.

根據本發明一些實施例,數位資料庫或其他資料結構可用以維護數位處方箋以及患者的其他醫務記錄。數位資料庫可使用專屬或開放原始碼的資料庫平台來實現。在首選實施例中,該數位資料庫是可由網路(例如網際網路)存取的動態線上資料庫。一些實施例可運用網路資料庫管理系統,其包括,諸如MySQLTM(Oracle Corp.,Redwood Shores,CA)、SQL Server®(Microsoft Corp.,Redmond,WA)或是DB2®(IBM Corp.,Armonk,NY)。在本發明的替代實施例中,數位處方箋及記錄可被儲存或整理成為一個非資料庫形式的資料結構(例如分散式雜湊表(distributed hash table))或成為享有部分資料庫功能之混合式資料結構(例如DynamoDB(Amazon Web Services,Inc.,Seattle,WA))。 In accordance with some embodiments of the present invention, a digital database or other data structure may be used to maintain a digital prescription and other medical records of the patient. The digital database can be implemented using a proprietary or open source database platform. In a preferred embodiment, the digital database is a dynamic online repository accessible by a network (e.g., the Internet). Some embodiments may use the network database management system that includes, such as MySQL TM (Oracle Corp., Redwood Shores , CA), SQL Server ® (Microsoft Corp., Redmond, WA) or DB2 ® (IBM Corp., Armonk, NY). In an alternate embodiment of the present invention, digital prescriptions and records can be stored or organized into a non-database data structure (eg, a distributed hash table) or a hybrid of partial database functions. Data structure (eg DynamoDB (Amazon Web Services, Inc., Seattle, WA)).

一些實施例中,該數位資料庫或其他資料結構是一種雲端儲存庫(cloud-based repository)。上述雲端基礎建設及服務的管理及/或託管(host),可從以下佈署模型中選用一個或混合多個來進行:私人、社群或公開。雲端服務提供者,諸如Amazon Web Services,Inc.(Seattle,WA)、Windows AzureTM Cloud Services (Microsoft Corp.,Redmond,WA)、Google Cloud Platform(Google,Inc.,Mountain View,CA)或Rackspace®(San Antonio,TX)等,皆可用以存取雲端基礎建設及服務。 In some embodiments, the digital database or other data structure is a cloud-based repository. The above-mentioned cloud infrastructure and service management and/or hosting can be selected from one or a mixture of the following deployment models: private, community or public. Cloud service providers such as Amazon Web Services, Inc. (Seattle, WA), Windows Azure TM Cloud Services (Microsoft Corp., Redmond, WA), Google Cloud Platform (Google, Inc., Mountain View, CA) or Rackspace ® (San Antonio, TX), etc., can be used to access cloud infrastructure and services.

根據本發明實施例,該數位資料庫或其他資料結構是由具有網路(例如網際網路)存取功能的伺服器託管,因此數位處方箋及記錄可供多個定牌使用者以不同的使用者設備(user equipment,UE)裝置來獲得。該伺服器的使用,可透過網路(網際網路或雲端)託管服務來購得或租借。該伺服器實際可包含一個以上的伺服器,且採用一個以上的伺服器協定。該伺服器可為資料庫伺服器,或為可提供資料庫服務及其他服務(例如連接到HTTP用戶端以傳送命令及接收回應及/或資料)的伺服器(亦即網路伺服器)。 According to an embodiment of the invention, the digital database or other data structure is hosted by a server having a network (eg, internet) access function, so the digital prescription and record can be different for multiple licensed users. User equipment (UE) device to obtain. The server can be purchased or rented through a network (internet or cloud) hosting service. The server may actually contain more than one server and employ more than one server protocol. The server can be a database server or a server (ie, a web server) that can provide database services and other services, such as connecting to an HTTP client to transmit commands and receive responses and/or data.

本發明一些實施例的設計,旨在符合當地法規對私人資訊及/或健康資訊交換的相關控管。在首選實施例中,該數位資料庫或其他資料結構皆在符合美國健康保險可攜性及可擇性法(U.S.Health Insurance Portability and Accountability Act(HIPAA))提出的標準下,於所述系統中定牌使用者之間進行所有資訊的傳出、 傳入及互傳。在進一步的實施例中,所述系統會依法規的更動(例如HIPAA的調整)而為自動更新。 Some embodiments of the present invention are designed to comply with local regulations regarding the control of private information and/or health information exchange. In a preferred embodiment, the digital database or other data structure is in accordance with the standards set forth by the US Health Insurance Portability and Accountability Act (HIPAA). All information is transmitted between the licensed users, Incoming and mutual transfer. In a further embodiment, the system is automatically updated in accordance with regulatory changes (e.g., HIPAA adjustments).

該數位資料庫或其他資料結構可維持衍變數位處方箋的歷史,包括存取日誌(access log)。一些實施例中,定牌提供者更可自訂示警服務(例如透過電子郵件、簡短訊息服務(SMS)、或推播通知),並根據預設的示警偏好設定來提醒使用者關於該數位資料庫或其他資料結構中的更新(例如數位處方箋的更新)。 The digital database or other data structure maintains a history of deriving digital prescriptions, including access logs. In some embodiments, the card provider can customize the alert service (eg, via email, short message service (SMS), or push notification) and alert the user to the digital data based on the preset alert preferences. Updates in the library or other data structure (such as updates to digital prescriptions).

一些實施例中,定牌使用者可藉由介面(例如圖形化使用者介面(Graphical User Interface,GUI))透過處方管理軟體應用程式(prescription management software application)來存取數位資料庫或其他資料結構並與其互動。定牌使用者可列出或選擇偏好設定。舉例而言,定牌患者102可列出或選擇主診醫生(例如定牌提供者101)、首選配給處(例如配給處105)以及授權之照護者(例如定牌照護者103)。定牌患者102亦可揭露其已知的健康問題,諸如過敏(例如對食物或藥物)、所完成療程(例如血友病)以及慢性疾病(例如糖尿病)。定牌患者102甚至可上傳並儲存保險或付款資訊。所有上述患者的醫務記錄可儲存於數位資料庫中,並可由授權之定牌使用者經由處方管理軟體應用程式來存取。 In some embodiments, the card user can access the digital database or other data structure through an interface (eg, a graphical user interface (GUI)) through a prescription management software application. And interact with it. The card user can list or select preferences. For example, the branded patient 102 may list or select a primary care physician (eg, a branding provider 101), a preferred ration (eg, ration 105), and an authorized caregiver (eg, a licensee 103). The branded patient 102 can also disclose known health problems such as allergies (e.g., to food or drugs), completed procedures (e.g., hemophilia), and chronic conditions (e.g., diabetes). The licensed patient 102 can even upload and store insurance or payment information. The medical records of all of the above patients can be stored in a digital database and accessed by authorized card users via the prescription management software application.

根據本發明實施例,處方管理軟體應用程式是託管於具有網路(例如網際網路)存取功能的伺服器,因此使得數位處方箋及記錄可為多個定牌使用者利用不同的UE裝置來獲得。該伺服 器的使用,可透過網路(網際網路或雲端)託管服務來購得或租借。該伺服器實際可包含一個或以上的伺服器,且採用一個以上的伺服器協定。所述伺服器可為網路伺服器,或為用以提供資料庫服務及其他服務的伺服器(例如資料庫伺服器)。 According to an embodiment of the invention, the prescription management software application is hosted on a server having a network (eg, internet) access function, thereby enabling digital prescription and recording to utilize different UE devices for multiple licensed users. Come to get. The servo The use of the device can be purchased or rented through a network (internet or cloud) hosting service. The server may actually include one or more servers and employ more than one server protocol. The server may be a web server or a server (eg, a database server) for providing database services and other services.

數位處方箋的安全與隱私Digital prescription security and privacy

本發明一些實施例中,數位處方箋可被加密以防止授權之定牌使用者以外的人士解密該處方箋。同樣地,集中式數位資料庫的存取亦可受到管制。系統安全的維護以及保存每個數位處方箋中經編碼資訊的完整度與隱密度,可透過各式加密或授權方案來實現。舉例而言,所述方案可包括對稱金鑰加密演算法(symmetric-key cryptography algorithms)、公開金鑰加密演算法(public-key cryptography algorithm)或一些混合式加密演算法。 In some embodiments of the invention, the digital prescription may be encrypted to prevent a person other than the authorized branded user from decrypting the prescription. Similarly, access to centralized digital databases can be regulated. System security maintenance and the integrity and concealment of the encoded information in each digital prescription can be achieved through various encryption or authorization schemes. For example, the scheme may include symmetric-key cryptography algorithms, public-key cryptography algorithms, or some hybrid encryption algorithms.

一些實施例中,上述加密演算法是一種暗號(cipher),例如資料加密標準、三重資料加密標準或近階加密標準。在首選實施例中,區塊大小的明文位元(plaintext bits)的固定長度之字串,例如64位元或其倍數(例如128位元或256位元),經加密後會產出具同樣大小位元的字串。該區塊大小可為2的任意次方,藉以產出具同樣大小位元的加密字串。所述演算法採用以獨特方式所產生的64位元金鑰(或者,例如128位元金鑰或256位元金鑰等),其經由一系列具定義長度之十六進位數字的位移,藉以產生數個子金鑰。該明文位元先經過置換(permutation),以使字串中每個位元的位置改變。此被修改的字串接著會被分為同樣大小的 兩個半部。所述演算法將特定子金鑰與該字串的第一半部結合,並經由預設資料表的取代來進行非線性變換。在每次非線性變換後,使該字串受轉換的半部與該字串的第二半部結合。經重新結合的64位元字串經歷另一次置換,並再次被分為同樣大小的兩個半部。上述流程是使用不同子金鑰來重複進行。子金鑰的數量決定了處理階段的數量,而處理階段的數量決定了加密的強度。上述處理階段完成後,所述經重新結合的64位元字串經歷逆轉而回到所述初始排列,並為加密處理畫上句點。只要得知原始的64位元金鑰,就能藉以逆轉上述的演算法並解密資料。 In some embodiments, the encryption algorithm described above is a cipher, such as a data encryption standard, a triple data encryption standard, or a near-order encryption standard. In a preferred embodiment, a fixed-length string of plaintext bits of a block size, such as 64 bits or a multiple thereof (eg, 128 bits or 256 bits), is encrypted to yield the same size. The string of bits. The block size can be any power of 2 to generate an encrypted string of the same size. The algorithm uses a 64-bit key (or, for example, a 128-bit key or a 256-bit key, etc.) generated in a unique manner, via a series of displacements of a hexadecimal number of defined length. Generate several subkeys. The plaintext bit is first permuted to change the position of each bit in the string. This modified string will then be divided into the same size Two halves. The algorithm combines a particular subkey with the first half of the string and performs a non-linear transformation via the substitution of a preset data table. After each non-linear transformation, the half of the converted string is combined with the second half of the string. The recombined 64-bit string undergoes another permutation and is again divided into two halves of the same size. The above process is repeated using different subkeys. The number of subkeys determines the number of processing stages, and the number of processing stages determines the strength of the encryption. After the above processing stages are completed, the recombined 64-bit string undergoes a reversal to return to the initial permutation and draws a period for the encryption process. As long as the original 64-bit key is known, it can reverse the above algorithm and decrypt the data.

由於醫務資訊的敏感性質,存取控管對本發明所有實施例來說相當重要。舉例而言,某些實施例中,可定義一或多個第三方團體(例如憑證機構),以發放及確認身份憑證(例如公開金鑰基礎建設(Public Key Infrastructure,PKI)數位憑證)給所有與數位處方箋相關的所述定牌使用者。每個身份憑證皆是唯一的且使用數位簽章,以使公開金鑰與定牌使用者結合。第三方團體結合其憑證與公開金鑰來核查憑證鍊(certificate chains),藉以授權身份給每個定牌使用者。 Due to the sensitive nature of medical information, access control is quite important to all embodiments of the present invention. For example, in some embodiments, one or more third party groups (eg, credential agencies) may be defined to issue and validate credentials (eg, Public Key Infrastructure (PKI) digital credentials) to all The card user associated with the digital prescription. Each credential is unique and uses a digital signature to allow the public key to be combined with the branded user. The third party community combines its credentials with the public key to verify the certificate chains, thereby authorizing the identity to each of the branded users.

根據本發明一些實施例,圖1所示不同類型之定牌使用者,個別定義了與數位處方箋相關的不同存取需求。舉例而言,在由定牌提供者101產生該數位處方箋後,每個授權之定牌使用者可應用數位簽章使之記錄並更新到數位資料庫100中的衍變數位處方箋。在特定實施例中,定牌提供者101可使具有數位簽章 的該處方箋簡單經由通信網路傳輸到該數位資料庫100,及/或使之直接傳輸到定牌患者102或定牌照護者103,藉以自動記錄數位處方箋的產生。 In accordance with some embodiments of the present invention, the different types of card users shown in FIG. 1 individually define different access requirements associated with the digital prescription. For example, after the digital prescription is generated by the branding provider 101, each authorized card user can apply a digital signature to record and update the derivative digital prescription in the digital database 100. In a particular embodiment, the card provider 101 can have a digital signature The prescription is simply transmitted to the digital repository 100 via the communication network and/or transmitted directly to the licensed patient 102 or the license holder 103 to automatically record the generation of the digital prescription.

根據一些實施例,定牌患者102及定牌照護者103僅被允許檢視及分享數位處方箋。然而,與定牌提供者類似,定牌患者102或定牌照護者103可簡單經由通信網路檢視具有數位簽章的處方箋,藉以自動記錄對數位處方箋的存取。或者,定牌患者102或定牌照護者103可使具有數位簽章的處方箋簡單經由通信網路傳輸到該數位資料庫100及/或直接傳輸到配給處105的定牌藥劑師104,藉以自動記錄對數位處方箋的存取。 According to some embodiments, the licensed patient 102 and the license holder 103 are only allowed to view and share the digital prescription. However, similar to the branding provider, the carding patient 102 or the licensee 103 can simply view the prescription of the digital signature via the communication network to automatically record access to the digital prescription. Alternatively, the card patient 102 or the licensee 103 can cause the prescription with the digital signature to be transmitted to the digital database 100 via the communication network and/or directly to the licensed pharmacist 104 of the ration 105. Automatically record access to digital prescriptions.

在處方配給後,定牌藥劑師104可經由通信網路使具有數位簽章的處方箋自銷售點終端(point-of-sale terminal)傳輸到該數位資料庫100,藉以記錄數位處方箋業已部份或完全配齊。針對每個事件,第三方團體可證實定牌使用者的身份並且一當衍變數位處方箋為有效時一使記錄增加至該數位資料庫100中患者的數位處方箋存取日誌及處方史。 After the prescription dispensing, the licensed pharmacist 104 can transfer the prescription with the digital signature from the point-of-sale terminal to the digital database 100 via the communication network, thereby recording the digital prescription system. Served or fully matched. For each event, the third party community can verify the identity of the authorized user and increase the record to the digital prescription access log and prescription history of the patient in the digital database 100 as soon as the derivative digital prescription is active.

所述系統的進一步實施例中,其藉由要求定牌使用者提供一或多個的以下憑證:個人訊息(例如密碼、個人識別密碼(Personal Identification Number,PIN)或驗證碼詞組(CAPTCHA phrase))、實體物件(例如門禁卡或行動裝置)以及生物特徵(例如指紋鑑別法(dactyloscopy)、視網膜掃描(retinal scan)或聲音辨識(voice recognition)),以排除非經授權之使用者。 In a further embodiment of the system, the licensee is required to provide one or more of the following credentials: a personal message (eg, a password, a Personal Identification Number (PIN), or a CAPTCHA phrase). ), physical objects (such as access cards or mobile devices), and biometrics (such as dactyloscopy, retinal scan, or voice recognition) to exclude unauthorized users.

基於數位處方箋之系統的實施方式Implementation of a system based on digital prescription

本發明實施例可以硬體、軟體、韌體或上述之組合等多種型態來實施。一些實施例中,模組是以軟體形式呈現,並作為應用程式以供使用者設備(user equipment,UE)來執行。所述使用者設備可包括行動電話、具無線通信能力的筆記型電腦、上網本(netbook)、智慧型手機、或任何其他無線裝置。所述使用者設備亦可涵蓋許多其他裝置,例如電視機(TVs)、視訊投影機、機上盒或機上單元、數位視訊記錄器(DVR)、電腦、上網本、筆記型電腦或者任何其他可與網路通信之音訊/視訊設備。 Embodiments of the invention may be implemented in a variety of configurations, such as hardware, software, firmware, or a combination thereof. In some embodiments, the modules are presented in software and executed as an application for user equipment (UE). The user device can include a mobile phone, a wireless communication capable notebook, a netbook, a smart phone, or any other wireless device. The user device may also cover many other devices, such as televisions (TVs), video projectors, set-top boxes or on-board units, digital video recorders (DVRs), computers, netbooks, notebook computers, or any other An audio/video device that communicates with the network.

圖2繪示根據本發明特定實施例中用於產生、修改與分享數位處方箋的使用者設備201之示意圖。該使用者設備201可包括中央處理器(CPU)202、數據機203、網路介面選擇模組204、一或多個記憶裝置205、一或多個使用者介面206以及一或多個具有介面208的收發器207。 2 is a schematic diagram of a user device 201 for generating, modifying, and sharing a digital prescription in accordance with a particular embodiment of the present invention. The user equipment 201 can include a central processing unit (CPU) 202, a data machine 203, a network interface selection module 204, one or more memory devices 205, one or more user interfaces 206, and one or more interfaces. Transceiver 207 of 208.

該中央處理器202執行該使用者設備201所進行的程序。該使用者設備可設有一或多個處理器以處理指令並執行可存於記憶體中的軟體。一些實施例中,用於程序或資料庫實施所需之該軟體包括高階程序語言或物件導向語言(例如C、C++、C#、Java或Perl)。如有必要,軟體亦可以組合語言來實施。使用者設備中所實施的封包程序可包括由其內容所定之任何程序。舉例而言,封包程序可涉及高階數據鏈路控制(high-level data link control,HDLC)成框(framing)、標頭壓縮及/或加密等程序。該處理器可 為結合了中央處理器、應用處理器及記憶體的任何適用之處理器。適用之處理器可包括任何微處理器(單或多核心)、系統單晶片(system on chip,SoC)、微控制器、數位訊號處理器(digital signal processor,DSP)、圖形處理單元(graphics processing unit,GPU)、軟硬體結合邏輯系統(combined hardware and software logic)或任何其他可處理指令的積體電路。 The central processor 202 executes the program performed by the user device 201. The user device can be provided with one or more processors to process instructions and execute software that can be stored in the memory. In some embodiments, the software required for program or database implementation includes a high-level programming language or an object-oriented language (eg, C, C++, C#, Java, or Perl). If necessary, the software can also be implemented in a combination of languages. The packet program implemented in the user device can include any program defined by its content. For example, the packetization process may involve high-level data link control (HDLC) framing, header compression, and/or encryption. The processor can Any suitable processor that combines a central processing unit, application processor, and memory. Suitable processors may include any microprocessor (single or multi-core), system on chip (SoC), microcontroller, digital signal processor (DSP), graphics processing unit (graphics processing Unit, GPU), combined hardware and software logic or any other integrated circuit that can process instructions.

在某些非限定實施例中,該使用者設備201所進行的程序可包括:編碼以建立或修改數位處方箋、加密以保全數位處方箋、解碼/解密以存取數位處方箋、確認定牌使用者的身分/權限以及進行交易以取得/配給處方。 In some non-limiting embodiments, the program performed by the user device 201 can include encoding to create or modify a digital prescription, encrypting to secure a digital prescription, decoding/decrypting to access a digital prescription, and confirming a card. The identity/permission of the user and the transaction to obtain/distribute the prescription.

該數據機203經裝設用以根據,但不限於,下列中一或多個通信標準:WLAN-相關標準,例如802.11(諸如802.11a、802.11b及/或802.11g)以及行動通訊之標準,例如在3GPP及3GPP2之下而被定義的,以實施訊號的調變及成框。 The data machine 203 is configured to be based on, but not limited to, one or more of the following communication standards: WLAN-related standards, such as 802.11 (such as 802.11a, 802.11b, and/or 802.11g) and standards for mobile communications. For example, it is defined under 3GPP and 3GPP2 to implement modulation and frame formation of signals.

該使用者設備201可利用多個存取技術,來與多個無線電網路及有線通信網路進行通信。該網路介面選擇模組204選擇網路介面以接收網路服務。該網路介面選擇模組204可與不同種類的通信網路交流,其包括但不限於,行動通訊網路(例如2G、3G、4G及LTE)及WLAN。一些實施例中,該網路介面選擇模組204可藉由分析與可用之介面相關的資料負載資訊(data load information),來選擇網路介面。在這些實施例中,該網路介面選擇模組204可設以附接於處理最少數量資料流量及/或具有較多可 用資源的網路介面上。在進一步的實施例中,該網路介面選擇模組204亦可藉由分析額外的資訊來決定要連線到哪個網路介面。該網路介面選擇模組204可使用特定功能積體電路(application specific integrated circuit,ASIC)、可程式化邏輯陣列(programmable logic array,PLA)或任何其他積體電路,以硬體形式來實施。該網路介面選擇模組204亦可使用該記憶體裝置205以軟體形式來實施。 The user device 201 can utilize multiple access technologies to communicate with multiple radio networks and wired communication networks. The network interface selection module 204 selects a network interface to receive network services. The network interface selection module 204 can communicate with different types of communication networks including, but not limited to, mobile communication networks (eg, 2G, 3G, 4G, and LTE) and WLANs. In some embodiments, the network interface selection module 204 can select the network interface by analyzing data load information associated with the available interfaces. In these embodiments, the network interface selection module 204 can be configured to attach to process a minimum amount of data traffic and/or have more Use the network interface of resources. In a further embodiment, the network interface selection module 204 can also determine which network interface to connect to by analyzing additional information. The network interface selection module 204 can be implemented in a hardware form using a specific application specific integrated circuit (ASIC), a programmable logic array (PLA), or any other integrated circuit. The network interface selection module 204 can also be implemented in a software form using the memory device 205.

該使用者設備具有一或多個記憶體裝置205,例如非暫態之電腦可讀式媒體(non-transitory computer readable medium)、快閃記憶體、磁碟機、光碟機、可程式化唯讀記憶體(programmable read-only memory,PROM)及/或唯讀記憶體(read-only memory,ROM)。所述一或多個記憶裝置205亦可儲存由中央處理器202所執行而用於上述程序的指令。所述一或多個記憶裝置205可儲存定牌使用者的資訊,包括使用者所輸入之靜態資料及/或動態資料。 The user device has one or more memory devices 205, such as a non-transitory computer readable medium, a flash memory, a disk drive, a CD player, and a programmable read only Programmable read-only memory (PROM) and/or read-only memory (ROM). The one or more memory devices 205 can also store instructions that are executed by the central processor 202 for use in the above described programs. The one or more memory devices 205 can store information of the licensed users, including static data and/or dynamic data input by the user.

所述一或多個使用者介面206提供輸入及/或輸出機制,以與使用者設備的使用者進行通信。使用者設備的使用者經由所述一或多個使用者介面106傳送數位處方箋到該使用者設備201/自該使用者設備201接收數位處方箋。所述一或多個使用者介面206可以硬體或軟體來實施。所述一或多個使用者介面206可用以自網路以及本地資源處接收資料與控制資訊。用於保全數位處方箋的輸入裝置可包括,但不限於,條碼讀取器、影像掃瞄器以及相機。同時,用於傳輸及/或分享數位處方箋的輸出裝置可包括, 但不限於,螢幕、觸控螢幕、監視器及印表機。其他輸入/輸出裝置可包括,但不限於,所述數據機203、具有介面208的收發器207、鍵盤、麥克風、喇叭、筆類裝置、軌跡球、觸控板及滑鼠。所述一或多個使用者介面206可在多個通訊協定下進行操作。一些實施例中,所述一或多個使用者介面206是透過軟體來實施,而在其他實施例中,所述一或多個使用者介面206則是以硬體形式來實施,並經由收發器207經由多種媒體(例如光學、銅質與無線等)來傳送及接收訊號。 The one or more user interfaces 206 provide input and/or output mechanisms to communicate with users of the user device. A user of the user device transmits a digital prescription to/from the user device 201 via the one or more user interfaces 106. The one or more user interfaces 206 can be implemented in hardware or software. The one or more user interfaces 206 can be used to receive data and control information from the network as well as from local resources. Input devices for preserving digital prescriptions may include, but are not limited to, bar code readers, image scanners, and cameras. Meanwhile, an output device for transmitting and/or sharing a digital prescription cartridge may include But not limited to, screens, touch screens, monitors, and printers. Other input/output devices may include, but are not limited to, the data machine 203, the transceiver 207 having the interface 208, a keyboard, a microphone, a speaker, a pen device, a trackball, a trackpad, and a mouse. The one or more user interfaces 206 can operate under a plurality of communication protocols. In some embodiments, the one or more user interfaces 206 are implemented by software, while in other embodiments, the one or more user interfaces 206 are implemented in hardware and transmitted and received. The device 207 transmits and receives signals via a variety of media (eg, optical, copper, wireless, etc.).

所述一或多個收發器207各自包括傳輸器與接收器。所述傳輸器與接收器可被整合為單一晶片或可以多個獨立晶片來實現,或甚至可與中央處理器202及/或一或多個記憶裝置205整合。一些實施例中,所述一或多個收發器207包括多個介面(以下統稱為介面208),用以提供輸入及/或輸出機制來與其他網路裝置(例如由其他定牌使用者所操作的使用者設備)進行通信。一些實施例中,該介面208測量並輸出無線介面的無線訊號強度(例如基地台及存取點)。該介面208可以硬體形式來實施,並透過多種媒體(例如,但不限於,光纖線、銅線與無線等)來傳送或接收訊號,且其中多個不同協定可為非暫態(non-transient)。 The one or more transceivers 207 each include a transmitter and a receiver. The transmitter and receiver can be integrated into a single wafer or can be implemented in multiple independent wafers, or even integrated with central processor 202 and/or one or more memory devices 205. In some embodiments, the one or more transceivers 207 include a plurality of interfaces (hereinafter collectively referred to as interfaces 208) for providing input and/or output mechanisms for interfacing with other network devices (eg, by other licensed users) The user equipment of the operation communicates. In some embodiments, the interface 208 measures and outputs the wireless signal strength (eg, base station and access point) of the wireless interface. The interface 208 can be implemented in a hardware form and transmit or receive signals through a variety of media (such as, but not limited to, fiber optic lines, copper wire, wireless, etc.), and wherein the plurality of different protocols can be non-transitory (non- Transient).

一些實施例中,該使用者設備為智慧型手機並具備進階能力,諸如文字處理、網頁瀏覽、電子遊戲、電子書、作業系統及全鍵盤。該使用者設備可執行之作業系統,諸如Symbian OS、Apple iOS、Blackberry OS、Windows Mobile、Linux、Palm WebOS 以及Android。所述螢幕可為觸控螢幕,用以取代全鍵盤而輸入資料到使用者設備。麥克風及聲音辨識軟體亦可用以將資料輸入到使用者設備。所述使用者設備可具有執行應用程式,或與通信網路中伺服器提供之應用程式進行通信的能力。該使用者設備可自網路上的所述應用程式處接收更新或其他資訊。該使用者設備亦可將全球定位座標或其他位置資訊保存於其推疊或記憶體中。 In some embodiments, the user device is a smart phone and has advanced capabilities such as word processing, web browsing, electronic games, e-books, operating systems, and full keyboards. The operating system executable by the user device, such as Symbian OS, Apple iOS, Blackberry OS, Windows Mobile, Linux, Palm WebOS And Android. The screen can be a touch screen to input data to the user device instead of the full keyboard. The microphone and voice recognition software can also be used to input data to the user device. The user device can have the ability to execute an application or to communicate with an application provided by a server in a communication network. The user device can receive updates or other information from the application on the network. The user device can also save global positioning coordinates or other location information in its push or memory.

儘管上述系統與方法主要是搭配行動裝置來作說明,然而數位處方箋的產生、管理及分享亦可以固定裝置及固定的頻帶來進行,例如使用有線網路(或與無線相接的線路,如WLAN)的個人桌上型電腦、電腦多媒體機台(computer kiosk)或銷售點終端。眾所皆知,在使用WLAN系統的情況下,使用者站(user station)會與存取點通信,以透過網際網路與其他個體通信。 Although the above systems and methods are mainly described with mobile devices, the generation, management, and sharing of digital prescriptions can also be performed by fixed devices and fixed frequency bands, such as using wired networks (or wirelessly connected lines, such as WLAN) Personal desktop, computer kiosk or point-of-sale terminal. It is well known that in the case of a WLAN system, a user station communicates with an access point to communicate with other individuals over the Internet.

基於數位處方箋之系統的使用範例Example of use of a system based on digital prescription

圖3是以定牌提供者的觀點根據本發明實施例所繪示的一種用於產生、管理與分享數位處方箋的系統之流程圖。為了替定牌患者產生數位處方箋,定牌提供者於步驟301中識別所述患者,並取回與該患者相關之靜態資料302。靜態資料302可包括,但不限於:處方資料、命令集、處方交互作用資料、自訂醫療指示、診斷碼、患者資料、照護者資料、提供者資料、藥劑師資料、配給處資料、提取自現存數位處方箋的資料、保險資料、付款資料、新數位處方箋產生記錄、現存數位處方箋修改、數位處方箋配齊記錄以及剩餘續配數量顯示。 3 is a flow diagram of a system for generating, managing, and sharing digital prescriptions in accordance with an embodiment of the present invention, in accordance with an embodiment of the present invention. To generate a digital prescription for a given card patient, the card supplier identifies the patient in step 301 and retrieves the static data 302 associated with the patient. The static data 302 may include, but is not limited to, prescription materials, command sets, prescription interaction data, customized medical instructions, diagnostic codes, patient data, caregiver data, provider data, pharmacist data, rations data, extracted from Existing digital prescription data, insurance data, payment data, new digital prescriptions, production records, existing digital prescriptions, revisions, digital prescriptions, and remaining renewals.

命令組是定牌提供者為特定療程所開立的一連串預設處方。與所述處方相關之自訂醫療指示,可為特定定牌患者而量身訂作。診斷碼可為提供者所指定或是取自,例如,ICD碼集。患者資料可包括該定牌患者的識別資料(例如,社會安全編號或唯一的病歷編號)、連絡資訊及療程資訊。照護者資料可包括該定牌照護者的識別資料(例如,社會安全編號或另外一種獨特的識別號)、連絡資訊及關係資訊。提供者資料可包括該定牌提供者的識別資料(例如,全國提供者識別及/或美國緝毒局編號)、連絡資訊及執業資訊。藥劑師及/或配給處資料可包括該定牌藥劑師及/或配給處的識別資料(例如,藥劑師代表編號及/或個人配給處位置編號)、連絡資訊。 The command group is a series of preset prescriptions that the card provider provides for a particular session. Customized medical instructions associated with the prescription can be tailored to a particular branded patient. The diagnostic code can be specified by the provider or taken from, for example, an ICD code set. Patient data may include identification data for the branded patient (eg, social security number or unique medical record number), contact information, and treatment information. The caregiver information may include identification information (eg, a social security number or another unique identification number), contact information, and relationship information for the licensee. The provider profile may include identification information of the branding provider (eg, National Provider Identification and/or US Drug Enforcement Administration number), contact information, and practice information. The pharmacist and/or rations information may include identification information (eg, pharmacist representative number and/or personal ration location number) and contact information for the licensed pharmacist and/or rations.

接著,該定牌提供者於步驟304中選擇靜態資料302及/或動態資料303。動態資料303可包括,但不限於:處方資料、命令集、處方交互作用資料、自訂醫療指示、診斷碼、患者資料、照護者資料、提供者資料、藥劑師資料、配給處資料、提取自現存數位處方箋的資料、保險資料、付款資料、新數位處方箋產生記錄、現存數位處方箋修改、數位處方箋配齊記錄以及剩餘續配數量顯示。 Next, the card provider selects the static data 302 and/or the dynamic data 303 in step 304. Dynamic data 303 may include, but is not limited to, prescription materials, command sets, prescription interaction data, customized medical instructions, diagnostic codes, patient data, caregiver data, provider data, pharmacist data, rations data, extracted from Existing digital prescription data, insurance data, payment data, new digital prescriptions, production records, existing digital prescriptions, revisions, digital prescriptions, and remaining renewals.

在步驟305中,選定之靜態資料302及/或動態資料303會被合併,藉以產生新的數位處方箋或修改現存數位處方箋。步驟306中,所述數位處方箋經編碼而以機器可讀取形式來表示,例如行動條碼(QR Code)。步驟307中,所述經編碼之數位處方 箋可使用一或多個加密演算法來加密,藉以控制上述之基本資料的存取權,從而在經授權的定牌使用者之間傳輸時,得以保護該數位處方箋的隱私及完整度。 In step 305, the selected static data 302 and/or dynamic data 303 are combined to generate a new digital prescription or to modify an existing digital prescription. In step 306, the digital prescription is encoded and represented in a machine readable form, such as a QR Code. In step 307, the encoded digital prescription 笺 Encryption can be performed using one or more encryption algorithms to control access to the above-described basic data, thereby protecting the privacy and integrity of the digital prescription when transmitted between authorized card users.

步驟309中,該定牌提供者在經編碼及/或加密之後,藉由輸出該數位處方箋(例如直接傳輸到另一個定牌使用者)來分享數位處方箋。在其他範例中,該定牌提供者可藉由,例如使該數位處方箋儲存於本地記憶裝置或集中式數位資料庫(其可為具有權限的該定牌患者、任何定牌照護者及任何定牌藥劑師來選擇性地存取)的方式,來儲存所述數位處方箋(在步驟308的輸出前或輸出後,甚至可取代所述輸出)。使用一般數位資料庫(common digital database)的實施例,可監控/記錄使用者的存取以及衍變數位處方箋的即時歷史。 In step 309, the card supplier, after being encoded and/or encrypted, shares the digital prescription by outputting the digital prescription (eg, directly to another branded user). In other examples, the card provider may, for example, store the digital prescription in a local memory device or a centralized digital database (which may be the licensed patient, any licenseor, and any The digital pharmacist selects the method to selectively store the digital prescription (either before or after the output of step 308, even replacing the output). Using an embodiment of a common digital database, the user's access and the instant history of the digital prescription can be monitored/recorded.

圖4是以定牌患者的觀點根據本發明實施例所繪示的一種用於產生、管理與分享數位處方箋的網路之流程圖。定牌患者不是自定牌提供者處直接接收數位處方箋,就是自一般數位資料庫處取回所儲存之數位處方箋。由於定牌患者僅被允許存取而無法修改數位處方箋,所述處方箋即為一種靜態資料401。 4 is a flow chart of a network for generating, managing, and sharing a digital prescription, according to an embodiment of the present invention, in accordance with an embodiment of the present invention. The licensed patient does not receive the digital prescription directly from the custom card provider, or retrieves the stored digital prescription from the general digital database. Since the licensed patient is only allowed to access and cannot modify the digital prescription, the prescription is a static data 401.

在某些實施例中,如步驟402所示,定牌患者可選擇增加額外資料到該數位處方箋。此種資料可包括其他靜態資料401(例如保險或付款資訊)及/或動態資料403(例如所請續藥數量或關於折扣、優惠券或獎勵計劃的資訊)。一些實施例中,可供定牌患者選擇的保險選項及/或所儲存之付款選項的組合可包括,但 不限於,信用卡、轉帳卡(debit cards)、健康存款帳戶(Health Savings Accounts)、聯邦存款帳戶(Federal Savings Accounts)、支票帳戶、存款帳戶、PayPal®或任何其他可進行電匯付款的匯款賬戶。在進一步的實施例中,付款選項亦可顧及折扣、優惠券或抽獎等活動。 In some embodiments, as shown in step 402, the carding patient may choose to add additional information to the digital prescription. Such information may include other static data 401 (such as insurance or payment information) and/or dynamic information 403 (such as the number of prescriptions requested or information about discounts, coupons or reward schemes). In some embodiments, a combination of insurance options and/or stored payment options available for the selected patient may include, but Not limited to, credit cards, debit cards, Health Savings Accounts, Federal Savings Accounts, checking accounts, deposit accounts, PayPal® or any other remittance account that can be used for wire transfer payments. In a further embodiment, the payment option may also take into account activities such as discounts, coupons or sweepstakes.

接著在步驟404中,靜態資料401及/或動態資料403會合併以擴充現存數位處方箋。步驟405中,衍變數位處方箋會編碼成機器可讀取形式。步驟406中,所述經編碼之數位處方箋可經加密,而使存取及/或修改的權限限制給特定定牌使用者。 Next, in step 404, the static data 401 and/or the dynamic data 403 are combined to expand the existing digital prescription. In step 405, the derivative digital prescription is encoded into a machine readable form. In step 406, the encoded digital prescription may be encrypted to limit access and/or modification rights to a particular authorized user.

根據更進一步的實施例,定牌患者藉由利用步驟408中的編碼及/或加密而輸出的衍變數位處方箋來分享該衍變數位處方箋。輸出步驟408中與直接傳輸數位處方箋到另一個定牌使用者關聯。在其他實施例中,該定牌患者可藉由,例如使該數位處方箋儲存於本地記憶裝置,或使該數位處方箋自本地記憶裝置複製到一般數位資料庫等方式(其可為定牌藥劑師在患者的同意下而能夠存取),來儲存該數位處方箋(在步驟407的輸出前或輸出後,甚至可取代所述輸出)。 According to still further embodiments, the branded patient shares the derived digital prescription by using a derived digital prescription output that is encoded and/or encrypted in step 408. In output step 408, the direct transfer digital prescription is associated with another branded user. In other embodiments, the branded patient may by way of, for example, storing the digital prescription in a local memory device, or copying the digital prescription from a local memory device to a general digital database (which may be a licensed card) The pharmacist can access the patient's consent to store the digital prescription (or the output can be replaced before or after the output of step 407).

使用一般數位資料庫的實施例,可監控使用者的存取並記錄存取數位處方箋的即時歷史記錄,並使具有檢視權限的定牌使用者得以存取即時歷史記錄。此等或其他實施例亦可經由任何合適的通信手段(例如,電子郵件,短信息服務(SMS)以及推播通知)),使特定定牌使用者被通知有新的或被更新的數位處方箋。 Using an embodiment of a general digital database, the user's access can be monitored and the instant history of accessing the digital prescriptions can be recorded, and the authorized users with access rights can access the instant history. These or other embodiments may also cause a particular branded user to be notified of a new or updated digital prescription via any suitable means of communication (eg, email, short message service (SMS), and push notification). Hey.

在一例示性實施例中,定牌患者使用此程序以建立一種可對先前已根據數位處方箋配給患者的處方提出續藥的請求,亦即處方請求(Request For Prescription,RFP)。在首選實施例中,定牌患者可使用此程序來同時配齊兩個以上的數位處方箋。然而,當相關的數位處方箋出現兩個以上處方有不良或危險的交互作用(hazardous interaction)的風險時,可採取示警或其他的動作。 In an exemplary embodiment, the carding patient uses this procedure to establish a request to renew a prescription that has previously been assigned to a patient based on a digital prescription, ie, a Request For Prescription (RFP). In a preferred embodiment, a licensed patient can use this procedure to simultaneously dispense more than two digital prescriptions. However, when the relevant digital prescription appears to have a risk of adverse or dangerous interactions between two or more prescriptions, an alert or other action may be taken.

圖5是以定牌藥劑師的觀點根據本發明實施例所繪示的一種用於產生、管理與分享數位處方箋的網路之流程圖。步驟501中,定牌藥劑師自一般數位資料庫處取回數位處方箋,或者自定牌患者、定牌提供者或定牌照護者處直接接收數位處方箋。步驟502中,該定牌藥劑師藉由解密及解碼該數位處方箋來提取配給處方所需的資訊。該資訊可包括,但不限於,原始的數位處方箋,以及使用者所提供的保險資訊、付款資訊及任何其他靜態及/或動態資料。當定牌藥劑師能夠存取及檢視必要的資訊時,在步驟503中,該定牌藥劑師可將該處方配給該定牌患者及/或該定牌照護者,以配齊該數位處方箋。 FIG. 5 is a flow chart of a network for generating, managing, and sharing a digital prescription according to an embodiment of the present invention in the perspective of a licensed pharmacist. In step 501, the licensed pharmacist retrieves the digital prescription from the general digital database, or directly receives the digital prescription from the licensed patient, the license provider or the license holder. In step 502, the licensed pharmacist extracts the information needed to dispense the prescription by decrypting and decoding the digital prescription. This information may include, but is not limited to, the original digital prescription, as well as insurance information, payment information and any other static and/or dynamic information provided by the user. When the licensed pharmacist is able to access and view the necessary information, in step 503, the licensed pharmacist may assign the prescription to the licensed patient and/or the licensed licensee to match the digital prescription. .

在特定實施例中,步驟502或步驟503本身或其概念,是使定牌藥劑師的藥劑師代表編號在處方箋中增加到欄位或完成現存欄位的方式,記錄成衍變數位處方箋的一部份。由於定牌藥劑師僅被允許修改與該衍變數位處方箋相關的特定欄位,因此其他剩餘欄位即可視為靜態資料504。一些實施例中,如步驟506所示,定牌藥劑師可選擇增加額外資料到該數位處方箋。所述額 外資料可包括其他靜態資料504(例如保險或付款資訊)及/或動態資料505(例如所請續藥數量、藥廠藥替換為學名藥(或其反向)的記錄或關於折扣、優惠券或獎勵計劃的資訊)。 In a particular embodiment, step 502 or step 503 itself or its concept is to cause the pharmacist representative number of the licensed pharmacist to be added to the field in the prescription or to complete the existing field, recorded as a derivative digital prescription. a part. Since the licensed pharmacist is only allowed to modify a particular field associated with the derived digital prescription, the remaining remaining fields can be considered static data 504. In some embodiments, as shown in step 506, the licensed pharmacist may choose to add additional information to the digital prescription. The amount External data may include other static data 504 (such as insurance or payment information) and / or dynamic data 505 (such as the number of drugs requested, the replacement of a pharmaceutical drug with a generic drug (or its reverse) or about discounts, coupons) Or reward program information).

接著在步驟507中,靜態資料504及/或動態資料505會合併以擴充現存數位處方箋。步驟508中,該衍變數位處方箋會編碼成機器可讀取形式。步驟509中,所述經編碼之數位處方箋可經加密,而使存取及/或修改的權限限制給特定定牌使用者。 Next, in step 507, the static data 504 and/or the dynamic data 505 are combined to expand the existing digital prescription. In step 508, the derived digital prescription will be encoded into a machine readable form. In step 509, the encoded digital prescription may be encrypted to restrict access and/or modification rights to a particular card user.

根據更進一步的實施例,步驟511中,定牌藥劑師藉由根據編碼及/或加密而輸出的衍變數位處方箋來分享該衍變數位處方箋。步驟511中所述輸入步驟可包括直接傳輸數位處方箋到另一個定牌使用者。在其他實施例中,該定牌患者及/或該定牌照護者可藉由,例如使該數位處方箋儲存於本地記憶裝置,或使該數位處方箋自本地記憶裝置複製到一般數位資料庫等方式(其可為定牌藥劑師在該定牌患者及/或該定牌照護者的同意下存取),來儲存該數位處方箋(在步驟510的輸出前或輸出後,甚至可取代所述輸出)。 According to still further embodiments, in step 511, the licensed pharmacist shares the derived digital prescription by a derivative digital prescription output based on encoding and/or encryption. The step of inputting in step 511 can include directly transferring the digital prescription to another branded user. In other embodiments, the branded patient and/or the licenseor may, for example, store the digital prescription in a local memory device or copy the digital prescription from a local memory device to a general digital database. The method (which may be accessed by the licensed pharmacist with the consent of the branded patient and/or the licensee) to store the digital prescription (or even before or after the output of step 510) The output).

使用一般數位資料庫的實施例,可監控使用者的存取並記錄存取數位處方箋的即時歷史記錄,並使具有檢視權限的定牌使用者得以存取即時歷史記錄。此等或其他實施例亦可經由任何合適的通信手段(例如,電子郵件,短信息服務(SMS)以及推播通知)),使特定定牌使用者被通知有新的或被更新的數位處方箋。 Using an embodiment of a general digital database, the user's access can be monitored and the instant history of accessing the digital prescriptions can be recorded, and the authorized users with access rights can access the instant history. These or other embodiments may also cause a particular branded user to be notified of a new or updated digital prescription via any suitable means of communication (eg, email, short message service (SMS), and push notification). Hey.

一些實施例中,使用者可註冊為定牌提供者、定牌藥劑 師、定牌患者或定牌照護者。一個使用者可作為多重定牌使用者來存取網路,然而,在一些實施例中的一些定牌種類中每個使用者僅可註冊一次。舉例而言,提供者在同時註冊成為定牌提供者及成為定牌患者後,不可再被註冊成定牌患者。然而,一些實施例中,提供者可多次被允許註冊成定牌提供者,而每個帳號代表一個不同(例如醫院相對於私人)執業。 In some embodiments, the user can register as a card supplier, a branded agent Division, card patient or license holder. A user can access the network as multiple card users, however, in some embodiments some of the tag types can only be registered once. For example, a provider may not be registered as a licensed patient after being registered as a license provider and becoming a licensed patient at the same time. However, in some embodiments, the provider may be allowed to register as a license provider multiple times, and each account represents a different (eg, hospital versus private) practice.

圖6繪示根據本發明實施例中一種使用者定牌化之流程圖。步驟601中,使用者藉由註冊或存取使用者裝備上的系統(具有網路連線的平板電腦、智慧型手機、桌上型電腦或可攜式電腦)來使用定牌化程序。 FIG. 6 is a flow chart of a user's carding according to an embodiment of the invention. In step 601, the user uses the carding program by registering or accessing a system on the user's equipment (a tablet, a smart phone, a desktop computer, or a portable computer with an internet connection).

為了安全起見,可在註冊過程中要求使用者選擇一組唯一的個人識別密碼。可蒐集額外資訊,以免使用者遺忘或需要重設該個人識別密碼。使用者亦可指定一組唯一的識別碼(ID)。一些實施例中,所述識別碼可經由隨機產生器來生成。一些實施例中,所述識別碼為現存識別碼,諸如社會安全編號、駕駛執照號碼、保險單號碼、或電話號碼。 For security reasons, the user may be asked to select a unique set of personal identification codes during the registration process. Additional information can be collected to prevent the user from forgetting or needing to reset the personal identification number. The user can also specify a unique set of identification numbers (IDs). In some embodiments, the identification code can be generated via a random generator. In some embodiments, the identification code is an existing identification code, such as a social security number, a driver's license number, an insurance policy number, or a phone number.

根據步驟602,使用者必須輸入正確的個人識別密碼及/或識別碼以存取網路。如果個人識別密碼及/或識別碼與特定使用者的記錄相符合,在步驟603中,該使用者會被定牌化並授予一組與數位處方箋的產生、存取、修改及分享相關的特定權限。步驟604中,所述網路介面會反映定牌化的種類。 According to step 602, the user must enter the correct personal identification code and/or identification code to access the network. If the personal identification code and/or the identification code matches the record of the particular user, in step 603, the user is branded and awarded a set of related to the generation, access, modification and sharing of the digital prescription. Specific permissions. In step 604, the network interface reflects the type of the card.

圖7A-圖7C繪示根據本發明實施例中一種定牌使用者之 間數位處方箋路徑之流程圖。圖7A-圖7C為針對圖1所繪示之網路而繪示的例示性使用案例。圖7A繪示數位處方箋的流程,其數位處方箋經由數位資料庫100自定牌提供者101傳至定牌患者102以及定牌照護者103。該數位資料庫100的使用者介面允許患者102及/或照護者103存取並檢視患者的數位處方箋之改變。 7A-7C illustrate a card user in accordance with an embodiment of the present invention. A flow chart of the number of prescriptions. 7A-7C are exemplary use cases illustrated for the network depicted in FIG. 1. FIG. 7A illustrates the flow of a digital prescription, the digital prescription being transmitted from the order provider 101 to the named patient 102 and the license holder 103 via the digital database 100. The user interface of the digital database 100 allows the patient 102 and/or caregiver 103 to access and view changes in the patient's digital prescription.

圖7B繪示照護者103在得到患者102准許後,繼而向提供者101請求續配授權的示意圖。此圖解亦表示了續配授權的流程,與圖7A相似,是經由該數位資料庫100自定牌提供者101傳至定牌患者102以及定牌照護者103。該數位資料庫100的使用者介面允許患者102及/或照護者103存取並檢視所述續配授權。 FIG. 7B depicts a schematic diagram of the caregiver 103 requesting renewal of authorization from the provider 101 upon obtaining permission from the patient 102. This diagram also shows the flow of the renewal authorization, similar to FIG. 7A, through the digital database 100 from the custom provider 101 to the named patient 102 and the license holder 103. The user interface of the digital repository 100 allows the patient 102 and/or caregiver 103 to access and view the renewal authorization.

在首選實施例中,定牌患者藉由邀請定牌照護者連結網路設定檔,或者接受定牌照護者對連結網路設定檔的邀請,來授權定牌照護者。定牌患者亦可取消定牌照護者的授權,在此情況下該定牌照護者無法再度存取該定牌患者的網路設定檔。一些實施例中,前一個照護者會被記錄成該定牌患者病歷的一部份。 In the preferred embodiment, the licensed patient authorizes the licensee by inviting the licensee to connect to the network profile or by accepting the licensee's invitation to link to the network profile. The licensed patient may also cancel the authorization of the licensee, in which case the licensee will not be able to access the network profile of the licensed patient again. In some embodiments, the previous caregiver will be recorded as part of the patient's medical record.

圖7C繪示數位處方箋傳經數位資料庫100以取得處方之示意圖。舉例而言,患者102可前往具有網際網路的配給處105,以使用數位處方箋來取得處方。該患者102上傳該數位處方箋到數位資料庫100,且藥劑師104取回該數位處方箋。在所述藥劑師藉由配給該處方來配齊該數位處方箋後,該數位資料庫會被更新以允許每個定牌使用者能存取有效數位處方箋相關的即時資訊。當剩餘續配數量為零時,該數位處方箋會被歸類為已完成並歸檔 於該定牌患者的該處方史中。除非定牌提供者有進一步的動作,否則定牌藥劑師無法配齊已歸檔的數位處方箋。 FIG. 7C is a schematic diagram showing the digital prescription being transmitted through the digital database 100 to obtain a prescription. For example, patient 102 may travel to a rations 105 having an internet to obtain a prescription using a digital prescription. The patient 102 uploads the digital prescription to the digital database 100 and the pharmacist 104 retrieves the digital prescription. After the pharmacist dispenses the prescription by dispensing the prescription, the digital database is updated to allow each of the branded users to access the instant information associated with the valid digital prescription. When the number of remaining renewals is zero, the digital prescription will be classified as completed and archived In the prescription history of the branded patient. Unless the card provider has further action, the licensed pharmacist cannot match the digital prescription filed.

圖8繪示根據本發明實施例中一種終止數位處方箋之流程圖。與過去的方法或系統不同,本發明實施例允許數位處方箋相關資訊的多向流程。即使該處方箋已傳遞到其他定牌使用者,某些實施例仍允許定牌提供者與數位處方箋互動。 FIG. 8 is a flow chart of terminating a digital prescription in accordance with an embodiment of the present invention. Unlike previous methods or systems, embodiments of the present invention allow for multi-directional flow of digital prescription related information. Some embodiments allow the card supplier to interact with the digital prescription even if the prescription has been passed to other branded users.

圖8中,根據本發明實施例,可存或不存在有一般數位資料庫。由步驟801起,第一提供者101產生數位處方箋並傳輸該處方箋到患者102及/或照護者103。步驟802中,該患者102及/或該照護者103於配給處105(配給處方以配齊數位處方箋處)向藥劑師104展示衍變數位處方箋。步驟803中,該患者向第二提供者106展示包括有效數位處方箋及處方史的醫療資訊。當該第二提供者106確認該患者102需要改變、替換及/或停用特定的處方時,該第二提供者106可修改或終止相關的數位處方箋。 In Figure 8, a general digital database may or may not be present in accordance with an embodiment of the present invention. From step 801, the first provider 101 generates a digital prescription and transmits the prescription to the patient 102 and/or caregiver 103. In step 802, the patient 102 and/or the caregiver 103 present the derivative digital prescription to the pharmacist 104 at the ration 105 (dispensing the prescription to match the digital prescription). In step 803, the patient presents the second provider 106 with medical information including a valid digital prescription and a prescription history. When the second provider 106 confirms that the patient 102 needs to change, replace, and/or deactivate a particular prescription, the second provider 106 can modify or terminate the associated digital prescription.

定牌提供者可使用此種功能來修改或終止該提供者產生的數位處方箋,或者對治療相同定牌患者之另一個提供者產生的數位處方箋進行修改或終止。這種修改及/或終止功能可運用在,例如廢止(nullify)一種非必要之處方,藉以防止不良的處方交互作用或避免不良的副作用。一些實施例中,該終止功能是簡單使數位處方箋中剩餘續配數量減少到零來實現,並使該處方箋歸檔。 The card issuer may use such functionality to modify or terminate the digital prescription generated by the provider, or to modify or terminate the digital prescription generated by another provider treating the same licensed patient. Such modification and/or termination functions can be used, for example, to nullify a non-essential location to prevent undesirable prescription interactions or to avoid undesirable side effects. In some embodiments, the termination function is accomplished by simply reducing the number of remaining refills in the digital prescription to zero and archiving the prescription.

根據本發明一些實施例,當此種修改或終止功能被使用在數位處方箋上時,原始產生所述數位處方箋的提供者會被告知 其原因。在圖8的步驟804中,有關該衍變數位處方箋的修改或終止,會由該第二提供者106來告知該第一提供者101、該患者102及/或照護者103以及該藥劑師104。如有任何問題或疑慮,該第一提供者101會使用所述系統來與該第二提供者106通信,甚至覆寫對該數位處方箋的該終止功能。 According to some embodiments of the present invention, when such a modification or termination function is used on a digital prescription, the provider who originally generated the digital prescription will be notified The reason. In step 804 of FIG. 8, the first provider 101, the patient 102 and/or the caregiver 103, and the pharmacist 104 are notified by the second provider 106 regarding the modification or termination of the derivative digital prescription. . If there are any questions or concerns, the first provider 101 will use the system to communicate with the second provider 106 and even overwrite the termination function for the digital prescription.

根據本發明實施例,圖9A、圖9B使用兩張截圖來繪示分別具有數位處方箋901及902功能之例示性使用者設備UE900的網頁介面畫面顯示。如圖9A所示,該數位處方箋901包含由醫務提供者所請求之處方的資料。如圖9B所示,該數位處方箋經編碼成機器可讀式二維條碼902,經過最佳化之後可為未具有自動對焦的相機(比如僅內建傳統相機的手機)所擷取。一些實施例中,當該定牌患者及/或該定牌照護者在接收到數位處方箋901及902時,與圖9A、圖9B中任一圖相似的畫面圖像會顯示於該定牌患者及/或該定牌照護者之使用者設備UE900。 According to an embodiment of the present invention, FIG. 9A and FIG. 9B use two screenshots to display a web interface screen display of an exemplary user equipment UE900 having functions of digital prescriptions 901 and 902, respectively. As shown in Figure 9A, the digital prescription 901 contains information from the party requested by the medical provider. As shown in FIG. 9B, the digital prescription is encoded into a machine readable 2D barcode 902 which, after optimization, can be captured by a camera that does not have auto focus (such as a mobile phone with only a conventional camera built in). In some embodiments, when the branded patient and/or the licenseor receives the digital prescriptions 901 and 902, a screen image similar to any of FIGS. 9A and 9B is displayed on the card. Patient and/or user equipment UE900 of the licensee.

在本發明一些實施例中,定牌使用者經由處方管理軟體應用程式存取所述系統並與其互動。該應用程式可自動上傳新的及/或經修改的資料到動態線上資料庫或其他資料結構。舉例而言,定牌患者及/或定牌照護者可使用處方管理應用程式(例如動態線上資料庫中具有特定目錄的圖形化使用者介面),以經由與圖9A、圖9B中任一圖解相似的畫面圖像來檢視及/或輸出有效數位處方箋。該處方管理應用程式更可賦予定牌患者及/或定牌照護者巡覽(navigate)該患者的處方史或其他儲存之醫務記錄的能力。 在首選的實施例中,該處方管理應用程式輸出具有人類可讀式之處方名稱或俗名的機器可讀式數位處方箋。一些實施例中,藥品處方的識別是使用唯一且三段式編號的國家藥物代碼(National Drug Code,NDC),其為食品與藥品管理機構(FDA)所指派以作為人類用藥的通用產品識別碼。國家藥物代碼的使用,可改善患者處方史的追蹤及潛在藥品交互作用的辨識。 In some embodiments of the invention, the carding user accesses and interacts with the system via a prescription management software application. The app automatically uploads new and/or modified data to a dynamic online database or other data structure. For example, a licensed patient and/or a licensee may use a prescription management application (eg, a graphical user interface with a specific directory in a dynamic online database) to illustrate via either of FIGS. 9A and 9B. A similar picture image is used to view and/or output a valid digital prescription. The prescription management application further provides the ability of the licensed patient and/or the licensee to navigate the patient's prescription history or other stored medical records. In a preferred embodiment, the prescription management application outputs a machine readable digital prescription having a human readable place name or a common name. In some embodiments, the prescription of the drug is identified using a unique and three-segment numbered National Drug Code (NDC), which is a generic product identifier assigned by the Food and Drug Administration (FDA) for human use. . The use of national drug codes can improve the tracking of patient prescription history and the identification of potential drug interactions.

同樣地,圖10使用截圖1000來繪示網頁介面顯示,根據本發明實施例,其具有處方管理應用程式的圖形化使用者介面功能。定牌提供者可使用,例如與截圖1000相似並與動態線上資料庫中的特定目錄連結的畫面圖像,來為多個患者產生及管理多個數位處方箋。在進一步的實施例中,定牌提供者可檢視、修改及/或終止屬於他或她的患者但是由另一個定牌提供者所提供的數位處方箋。以此方式,根據本發明實施例,系統之存取可對定牌提供者有某些程度的開放,而同時對其他定牌使用者實施封閉或限制。 Similarly, FIG. 10 uses screenshot 1000 to illustrate a web interface display having a graphical user interface function of a recipe management application in accordance with an embodiment of the present invention. The card issuer can use, for example, a screen image similar to screenshot 1000 and linked to a particular directory in the dynamic online database to generate and manage multiple digital prescriptions for multiple patients. In a further embodiment, the card provider can view, modify, and/or terminate the digital prescription provided to his or her patient but provided by another branding provider. In this manner, in accordance with embodiments of the present invention, access to the system can be somewhat open to the card provider while at the same time closing or limiting other card users.

本技術領域中具有通常知識者當理解,可對本揭露以上述特定揭露內容之外的方式來實施。因而上文之特定實施例應視其為例示性,而非限制性。熟習此項技術者在使用不超過常規之實驗下,將知曉或可判明多個前述特定實施例之等效物。故本發明之保護範圍當視後附之申請專利範圍及其等效物之解譯所定,而非受前述實施方式之限制。 Those of ordinary skill in the art will understand that the present disclosure can be practiced in other ways than the specific disclosure described above. The particular embodiments described above are therefore considered as illustrative and not restrictive. Those skilled in the art will recognize, or will be able Therefore, the scope of the invention should be construed as being limited by the scope of the appended claims and the equivalents thereof.

100‧‧‧數位資料庫 100‧‧‧Digital Database

101‧‧‧第一提供者 101‧‧‧First Provider

102‧‧‧患者 102‧‧‧ patients

103‧‧‧照護者 103‧‧‧ caregivers

104‧‧‧藥劑師 104‧‧ ‧ pharmacist

105‧‧‧配給處 105‧‧‧ Distribution Office

106‧‧‧第二提供者 106‧‧‧second provider

801‧‧‧新的數位處方箋 801‧‧‧New digital prescription笺

802-803‧‧‧步驟 802-803‧‧‧Steps

804‧‧‧修改或終止的數位處方箋 804‧‧‧Modified or terminated digital prescription笺

Claims (37)

一種產生、管理與分享數位處方箋的電子處方系統,包括:處理器,用於處理關於數位處方箋的資料,該資料包括動態資料及/或靜態資料;儲存媒介,用於儲存關於該數位處方箋的資訊;以及可由該處理器執行之指令,所述指令執行時會使該處理器:合併所述動態資料及/或所述靜態資料之選定部份以建立該數位處方箋;以及套用保全程序到該數位處方箋以建立保全數位處方箋。 An electronic prescription system for generating, managing, and sharing a digital prescription, comprising: a processor for processing data about a digital prescription, the data including dynamic data and/or static data; and a storage medium for storing the digital prescription Information that can be executed by the processor, the instructions being executed to cause the processor to: merge the selected portions of the dynamic data and/or the static data to establish the digital prescription; and apply for security The program goes to the digital prescription to establish a digital prescription. 如申請專利範圍第1項所述之產生、管理與分享數位處方箋的電子處方系統,其中該保全程序包括編碼該數位處方箋。 An electronic prescription system for generating, managing, and sharing a digital prescription as described in claim 1, wherein the security procedure includes encoding the digital prescription. 如申請專利範圍第1項所述之產生、管理與分享數位處方箋的電子處方系統,其中該保全程序包括加密該數位處方箋。 An electronic prescription system for generating, managing, and sharing a digital prescription as described in claim 1, wherein the security procedure includes encrypting the digital prescription. 如申請專利範圍第1項所述之產生、管理與分享數位處方箋的電子處方系統,更包括輸出裝置,用以輸出該保全程序。 An electronic prescription system for generating, managing, and sharing a digital prescription as described in claim 1 of the patent application, further comprising an output device for outputting the security procedure. 如申請專利範圍第4項所述之產生、管理與分享數位處方箋的電子處方系統,其中該保全數位處方箋輸出到指定定牌使用者。 An electronic prescription system for generating, managing, and sharing a digital prescription as described in claim 4, wherein the security digital prescription is output to a designated brand user. 如申請專利範圍第5項所述之產生、管理與分享數位處方箋的電子處方系統,其中該指定定牌使用者包括患者、提供者、藥劑師以及照護者其中之一或多個。 An electronic prescription system for generating, managing, and sharing a digital prescription as described in claim 5, wherein the designated card user includes one or more of a patient, a provider, a pharmacist, and a caregiver. 如申請專利範圍第4項所述之產生、管理與分享數位處方箋的電子處方系統,其中該保全數位處方箋輸出到儲存裝置。 An electronic prescription system for generating, managing, and sharing a digital prescription as described in claim 4, wherein the security digital prescription is output to a storage device. 如申請專利範圍第1項所述之產生、管理與分享數位處方箋的電子處方系統,更包括可由該處理器執行之指令,所述指令執行時會使該處理器將該保全數位處方箋儲存到該儲存媒介中。 An electronic prescription system for generating, managing, and sharing a digital prescription as described in claim 1, further comprising instructions executable by the processor, the instructions being executed to cause the processor to store the security digital prescription Go to the storage medium. 如申請專利範圍第1項所述之產生、管理與分享數位處方箋的電子處方系統,更包括:介面,用以與電腦網路中的網路資料庫通信;以及可由該處理器執行之指令,所述指令執行時會使該處理器經由該介面向該網路資料庫請求所述動態資料及/或所述靜態資料。 An electronic prescription system for generating, managing, and sharing a digital prescription as described in claim 1, further comprising: an interface for communicating with a network database in a computer network; and instructions executable by the processor When the instruction is executed, the processor requests the dynamic data and/or the static data through the interface to the network database. 如申請專利範圍第1項所述之產生、管理與分享數位處方箋的電子處方系統,更包括:介面,用以與電腦網路中的網路資料庫通信;以及可由該處理器執行之指令,所述指令執行時會使該處理器經由該介面向該網路資料庫輸出該保全數位處方箋。 An electronic prescription system for generating, managing, and sharing a digital prescription as described in claim 1, further comprising: an interface for communicating with a network database in a computer network; and instructions executable by the processor When the instruction is executed, the processor outputs the saved digital prescription to the network database via the interface. 如申請專利範圍第1項所述之產生、管理與分享數位處方箋的電子處方系統,其中所述靜態資料可包括下列之一或多個:處方資料、命令集、處方交互作用資料、自訂醫療指示、診斷碼、患者資料、照護者資料、提供者資料、藥劑師資料、配給處資料、提取自現存數位處方箋的資料、保險資料、付款資料、新數位處方箋產生記錄、現存數位處方箋修改、數位處方箋配齊 記錄以及剩餘續配數量顯示。 An electronic prescription system for generating, managing, and sharing a digital prescription as described in claim 1, wherein the static data may include one or more of the following: prescription materials, command sets, prescription interaction materials, and customizations. Medical instructions, diagnostic codes, patient data, caregiver data, provider information, pharmacist data, rations data, data extracted from existing digital prescriptions, insurance data, payment data, new digital prescriptions, production records, existing digital prescriptions笺Modification, digital prescription The record and the number of remaining renewals are displayed. 如申請專利範圍第1項所述之產生、管理與分享數位處方箋的電子處方系統,其中所述動態資料可包括下列之一或多個:處方資料、命令集、處方交互作用資料、自訂醫療指示、診斷碼、患者資料、照護者資料、提供者資料、藥劑師資料、配給處資料、提取自現存數位處方箋的資料、保險資料、付款資料、新數位處方箋產生記錄、現存數位處方箋修改、數位處方箋配齊記錄以及剩餘續配數量顯示。 An electronic prescription system for generating, managing, and sharing a digital prescription as described in claim 1, wherein the dynamic data may include one or more of the following: prescription materials, command sets, prescription interaction materials, and customizations. Medical instructions, diagnostic codes, patient data, caregiver data, provider information, pharmacist data, rations data, data extracted from existing digital prescriptions, insurance data, payment data, new digital prescriptions, production records, existing digital prescriptions笺 Modifications, digital prescriptions, matching records, and remaining renewals are displayed. 一種產生、管理與分享數位處方箋的電子系統,包括:介面,用以與電腦網路通信;處理器,用於處理關於數位處方箋的資料,該資料包括動態資料及/或靜態資料;儲存媒介,用於儲存關於該數位處方箋的資訊;以及可由該處理器執行之指令,所述指令執行時會使該處理器:經由該介面接收保全數位處方箋;以及自該數位處方箋提取所述動態資料及/或所述靜態資料之選定部份。 An electronic system for generating, managing, and sharing digital prescriptions, comprising: an interface for communicating with a computer network; a processor for processing information about a digital prescription, the data including dynamic data and/or static data; Means for storing information about the digital prescription; and instructions executable by the processor, the instructions being executed to cause the processor to: receive a security digital prescription via the interface; and extracting from the digital prescription The selected portion of the dynamic data and/or the static data. 如申請專利範圍第13項所述之產生、管理與分享數位處方箋的電子系統,其中用於提取所述選定部份之所述指令包括用於解碼該保全數位處方箋之指令。 An electronic system for generating, managing, and sharing a digital prescription as described in claim 13, wherein the instructions for extracting the selected portion include instructions for decoding the secured digital prescription. 如申請專利範圍第13項所述之產生、管理與分享數位處方箋的電子系統,其中用於提取所述選定部份之所述指令包括用 於解密該保全數位處方箋之指令。 An electronic system for generating, managing, and sharing a digital prescription as described in claim 13 wherein the instructions for extracting the selected portion include In order to decrypt the instructions for the preservation of the digital prescription. 如申請專利範圍第13項所述之產生、管理與分享數位處方箋的電子系統,其中所述選定部分是由指定定牌使用者來選定。 An electronic system for generating, managing, and sharing a digital prescription as described in claim 13 wherein the selected portion is selected by a designated brand user. 如申請專利範圍第13項所述之產生、管理與分享數位處方箋的電子系統,更包括可由該處理器執行之指令,所述指令執行時會使該處理器儲存所述被提取資料之所述選定部分。 An electronic system for generating, managing, and sharing a digital prescription as described in claim 13 of the patent application, further comprising instructions executable by the processor, the instructions being executed to cause the processor to store the extracted data Describe the selected part. 如申請專利範圍第17項所述之產生、管理與分享數位處方箋的電子系統,其中所述選定部分是儲存於該儲存媒介中。 An electronic system for generating, managing, and sharing a digital prescription as described in claim 17, wherein the selected portion is stored in the storage medium. 如申請專利範圍第17項所述之產生、管理與分享數位處方箋的電子系統,其中所述選定部分是儲存於網路資料庫中。 An electronic system for generating, managing, and sharing digital prescriptions as described in claim 17, wherein the selected portion is stored in a network database. 一種在電子處方系統中產生、管理與分享數位處方箋的方法,包括:選擇關於數位處方箋的資料,該資料包括動態資料及/或靜態資料;合併所述動態資料及/或所述靜態資料之選定部份,以建立該數位處方箋;以及套用保全程序到該數位處方箋以建立保全數位處方箋。 A method of generating, managing, and sharing a digital prescription in an electronic prescription system, comprising: selecting information about a digital prescription, the data including dynamic data and/or static data; and combining the dynamic data and/or the static data The selected portion is used to establish the digital prescription; and the security procedure is applied to the digital prescription to establish a digital prescription. 如申請專利範圍第20項所述之在電子處方系統中產生、管理與分享數位處方箋的方法,其中該保全程序包括編碼該數位處方箋。 A method of generating, managing, and sharing a digital prescription in an electronic prescription system as described in claim 20, wherein the security procedure includes encoding the digital prescription. 如申請專利範圍第20項所述之在電子處方系統中產生、管理與分享數位處方箋的方法,其中該保全程序包括加密該數位 處方箋。 A method of generating, managing, and sharing a digital prescription in an electronic prescription system as described in claim 20, wherein the security procedure includes encrypting the digit Prescription 笺. 如申請專利範圍第20項所述之在電子處方系統中產生、管理與分享數位處方箋的方法,更包括輸出該保全程序。 The method for generating, managing, and sharing a digital prescription in an electronic prescription system as described in claim 20, further includes outputting the security procedure. 如申請專利範圍第23項所述之在電子處方系統中產生、管理與分享數位處方箋的方法,其中該保全數位處方箋是輸出到指定定牌使用者。 A method for generating, managing, and sharing a digital prescription in an electronic prescription system as described in claim 23, wherein the security digital prescription is output to a designated brand user. 如申請專利範圍第23項所述之在電子處方系統中產生、管理與分享數位處方箋的方法,其中該保全數位處方箋是輸出到儲存裝置。 A method of generating, managing, and sharing a digital prescription in an electronic prescription system as described in claim 23, wherein the secured digital prescription is output to a storage device. 如申請專利範圍第20項所述之在電子處方系統中產生、管理與分享數位處方箋的方法,更包括儲存該保全程序於該儲存媒介中。 The method for generating, managing, and sharing a digital prescription in an electronic prescription system as described in claim 20, further comprising storing the preservation program in the storage medium. 如申請專利範圍第20項所述之在電子處方系統中產生、管理與分享數位處方箋的方法,更包括:經由用以與電腦網路中的網路資料庫通信的介面,向該網路資料庫請求所述動態資料及/或所述靜態資料。 The method for generating, managing, and sharing a digital prescription in an electronic prescription system as described in claim 20, further comprising: accessing the network via an interface for communicating with a network database in a computer network The database requests the dynamic data and/or the static data. 如申請專利範圍第20項所述之在電子處方系統中產生、管理與分享數位處方箋的方法,更包括:經由用以與電腦網路中的網路資料庫通信的介面,向該網路資料庫輸出該保全數位處方箋。 The method for generating, managing, and sharing a digital prescription in an electronic prescription system as described in claim 20, further comprising: accessing the network via an interface for communicating with a network database in a computer network The database outputs the security digital prescription. 如申請專利範圍第20項所述之在電子處方系統中產生、管理與分享數位處方箋的方法,其中所述靜態資料可包括下列之 一或多個:處方資料、命令集、處方交互作用資料、自訂醫療指示、診斷碼、患者資料、照護者資料、提供者資料、藥劑師資料、配給處資料、提取自現存數位處方箋的資料、保險資料、付款資料、新數位處方箋產生記錄、現存數位處方箋修改、數位處方箋配齊記錄以及剩餘續配數量顯示。 A method for generating, managing, and sharing a digital prescription in an electronic prescription system as described in claim 20, wherein the static data may include the following One or more: prescription data, command set, prescription interaction data, custom medical instructions, diagnostic code, patient data, caregiver data, provider information, pharmacist data, rations data, extracted from existing digital prescriptions Data, insurance data, payment information, new digital prescriptions, production records, existing digital prescriptions, revisions, digital prescriptions, matching records, and remaining renewals. 如申請專利範圍第20項所述之在電子處方系統中產生、管理與分享數位處方箋的方法,其中所述動態資料可包括下列之一或多個:處方資料、命令集、處方交互作用資料、自訂醫療指示、診斷碼、患者資料、照護者資料、提供者資料、藥劑師資料、配給處資料、提取自現存數位處方箋的資料、保險資料、付款資料、新數位處方箋產生記錄、現存數位處方箋修改、數位處方箋配齊記錄以及剩餘續配數量顯示。 A method for generating, managing, and sharing a digital prescription in an electronic prescription system as described in claim 20, wherein the dynamic data may include one or more of the following: prescription data, a command set, and a prescription interaction data. , customized medical instructions, diagnostic codes, patient data, caregiver data, provider information, pharmacist information, rations data, data extracted from existing digital prescriptions, insurance data, payment information, new digital prescriptions, records, The existing digital prescriptions are modified, the digital prescriptions are matched, and the remaining renewals are displayed. 一種在電子處方系統中產生、管理與分享數位處方箋的方法,包括:經由用以與電腦網路通信中的介面來接收保全數位處方箋,該保全數位處方箋包括動態資料及/或靜態資料;以及自該數位處方箋提取所述動態資料及/或所述靜態資料之選定部份。 A method of generating, managing, and sharing a digital prescription in an electronic prescription system, comprising: receiving a secure digital prescription via an interface for communicating with a computer network, the secure digital prescription including dynamic data and/or static data And extracting the selected portion of the dynamic data and/or the static data from the digital prescription. 如申請專利範圍第31項所述之在電子處方系統中產生、管理與分享數位處方箋的方法,其中提取所述選定部份之步驟包括解碼該保全數位處方箋。 A method of generating, managing, and sharing a digital prescription in an electronic prescription system as described in claim 31, wherein the step of extracting the selected portion comprises decoding the secured digital prescription. 如申請專利範圍第31項所述之在電子處方系統中產生、 管理與分享數位處方箋的方法,其中提取所述選定部份之步驟包括解密該保全數位處方箋。 Produced in an electronic prescription system as described in claim 31, A method of managing and sharing a digital prescription, wherein the step of extracting the selected portion includes decrypting the secured digital prescription. 如申請專利範圍第31項所述之在電子處方系統中產生、管理與分享數位處方箋的方法,其中所述選定部分是由指定定牌使用者來選定。 A method of generating, managing, and sharing a digital prescription in an electronic prescription system as described in claim 31, wherein the selected portion is selected by a designated brand user. 如申請專利範圍第31項所述之在電子處方系統中產生、管理與分享數位處方箋的方法,更包括儲存所述被提取資料的所述選定部分。 The method of generating, managing, and sharing a digital prescription in an electronic prescription system as described in claim 31, further comprising storing the selected portion of the extracted material. 如申請專利範圍第35項所述之產生、管理與分享數位處方箋的電子系統,其中所述選定部分儲存於該儲存媒介中。 An electronic system for generating, managing, and sharing a digital prescription as described in claim 35, wherein the selected portion is stored in the storage medium. 如申請專利範圍第35項所述之產生、管理與分享數位處方箋的電子系統,其中所述選定部分儲存於網路資料庫中。 An electronic system for generating, managing, and sharing a digital prescription as described in claim 35, wherein the selected portion is stored in a network database.
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WO2013130830A2 (en) 2013-09-06
US20130231945A1 (en) 2013-09-05

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